Center Microgrant application

County of Childcare Program

Program Name

License Number

Your Name

First Last

Your Title

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Number of Staff

Number of Classrooms

Number of Children Enrolled

Please indicate what training topics would support you in coping with COVID-19 (select all that apply)

Basic Health & Safety
Supporting Children & Families Through Grief and Loss
Traumatic Events: Helping Children Cope During and After a Crisis
Managing Stress at Any Age
Outdoor Learning Opportunities: Bringing the Classroom Outdoors
Simple Strategies for Staying Healthy During Trying Times
Indoor & Outdoor Nature Based Learning for Infants & Toddlers

Are there other training topics that would be helpful?

Please indicate what types of materials would support your program in coping with COVID-19 (select all that apply)

Cleaning Supplies
Personal Protective Equipment
Medical Supplies (thermometers, hand sanitizer, etc)
Learning/sensory materials to support social distancing and minimize sharing of materials
Materials for a trauma informed Cozy Corner
Materials to support outdoor learning

Are there other supplies or materials that would be helpful?

Are you willing and able to distribute branded acknowledgement of this funding to your childcare families?

Yes
No

Are you willing and able to post an acknowledgement of this funding to your childcare's social media account?

Yes
No
I don't have a social media account for my childcare.

Are you willing and able to share photos that show staff and/or children in your childcare program benefiting from this funding, and obtain required photo sharing consent forms?

Yes
No

How would the training, coaching and supplies provided through this microgrant benefit you, your program, children and families?

COVID-19 Center Microgrant Application

Project ACT’s Funders Include