Office of Child Care State and Territory Administrator's Meeting Registration Questions

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State and Territory CCDF Administrators Meeting: Registration Questions
* = required response

Please select your role at this event. * 
    • Federal Employee
    • State CCDF Administrator
    • Territory CCDF Administrator
    • State CCDF Staff Member
    • Territory CCDF Staff Member
    • OCC National TA Center Staff (additional drop down of National Centers)
        ◦ Child Care Automated Reporting System
        ◦ Child Care State Capacity Building 
        ◦ Child Care Quality and Business Support Center
        ◦ Subsidy Innovation and Accountability
        ◦ Tribal Child Care Capacity Building Center
    • National Organization
    • Invited Presenter or Guest
    • Other 
        ◦ Please specify. ______________ 

Contact Information
First Name*
Last Name*
Title/Position*
Division/Office*
Organization*
City*
State/Territory*
Zip Code*
Phone Number*
Email*

Emergency Contact
	Name
	Phone Number
	Email

OCC Region* 
    • Northeast (CT, DE, DC, MA, MD, ME, NH, PA, RI, VA, VT, WV)
    • Southeast (AL, FL, GA, KY, MS, NC, NJ, NY, PR, SC, TN, VI)
    • Midwest (IA, IL, KS, MI, MN, MO, NE, WI)
    • Northwest (AK, CO, ID, MT, ND, OR, SD, UT, WA, WY)
    • Southwest (AR, AS, AZ, CA, GU, HI, IN, LA, MP, NM, NV, OH, OK, TX)
    • N/A

If you are new to your role, would you participate in an opportunity to learn about the Fundamentals of CCDF Administration during STAM?  
    • Yes
    • No
    • N/A

Do you require any special accommodations?
    • Yes
Please specify. ______________
    • No

How will you attend? *
    • In-Person
    • Virtually (Please note that virtual options will be limited)
    • A combination of both

Will you be staying at the hotel?
    • Yes
    • No

Additional Information

Please note – your response to the next two questions will not be anonymous and may be used to develop peer-to-peer discussion groups.

Please select topics that you would be willing to discuss with your colleagues about successes in implementing CCDF priorities, including those in the early stages. You may select more than one topic.
    • Program Integrity and Fraud Prevention
    • CCDF Administrator Training and Tools
    • Consumer Education
    • Data and IT
    • Fiscal Strategies
    • Innovations in Quality
    • Licensing, Health, Safety, and Comprehensive Background Checks
    • Supply-Building and Parental Choice
    • Supports for the Workforce
    • Other 
        ◦ Please specify and also feel free to add more detail on any selected topics. ___________

Please select the topics below that you have questions about and would like to discuss with your colleagues. You may select more than one topic.
    • Program Integrity and Fraud Prevention
    • CCDF Administrator Training and Tools
    • Consumer Education
    • Data and IT
    • Fiscal Strategies
    • Innovations in Quality
    • Licensing, Health, Safety, and Comprehensive Background Checks
    • Supply-Building and Parental Choice
    • Supports for the Workforce
    • Other 
        ◦ Please specify and also feel free to add more detail on any selected topics. ___________