□ Program participation agreement completed and signed (pp. 4 & 5 of application)Program Participation Agreement • December 23rd, 2014
Contract Type FiledDecember 23rd, 2014What is your current job title? ⬜ TeacherAssistant Teacher Administrator ⬜ Family Based ProfessionalNon-Teaching Professional Staff Non-Teaching Support Staff ⬜ ⬜ ⬜ ⬜ What age groups do you teach?(please check all that apply) ⬜ Infants (0-12 Months)Toddler (13-36 Months) ⬜ Preschool (37 Months – PreK) School Age ⬜ ⬜ Is your center a WV Pre-K site? ⬜ Yes ⬜ No Are you a teacher in a WV Pre-K Classroom? ⬜ Yes ⬜ No