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Child Care Provider of the Year Nomination Form

  1. ALL NOMINATIONS MUST BE SUBMITTED BY FEBRUARY 1, 2017

  2. Qualifications:

  3. * Active licensed provider for a minimum of three years.

  4. * Exhibits special competency as a child care provider.

  5. * Has made a positive impact on the lives of young children.

  6. * Demonstrates professional skills in child care.

  7. * Provider has not held the honor within the last 10 years.

  8. THANK YOU FOR YOUR NOMINATION!

  9. Leave This Blank:

  10. This field is not part of the form submission.