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Center Provider Monthly Update
  1. Name of Center(*)
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  2. Director First Name(*)
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  3. Director Last Name(*)
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  4. Name of Director Designee(*)
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  5. Center Address(*)
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  6. City(*)
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  7. State(*)
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  8. Zip Code(*)
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  9. Phone(*)
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  10. Fax Number
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  11. Website
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  12. Email(*)
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  13. Mailing Address (if different)
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  14. Full Time Openings

  15. 0-11 Months(*)
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  16. 1 Year(*)
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  17. 2 Years(*)
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  18. 3 Years(*)
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  19. 4 & 5 Years(*)
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  20. Kindergarten(*)
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  21. School Age(*)
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  22. Total Number of Full Time Vacancies

  23. 23 months and younger(*)
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  24. 2 years and older(*)
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  25. Number of Rooms

  26. Infant and Toddler(*)
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  27. Preschool to Kindergarten(*)
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  28. School Age(*)
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  29. Facility Information

  30. Number of diapering stations?(*)
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  31. Number of children's restrooms?(*)
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  32. Number of playgrounds?(*)
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  33. Number of Children Currently Enrolled

  34. 0-11 Months(*)
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  35. 1 Year(*)
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  36. 2 Years(*)
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  37. 3 Years(*)
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  38. 4 Years(*)
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  39. 5 Years (not in kindergarten)(*)
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  40. Kindergarten(*)
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  41. School Age(*)
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  42. Monthly Rates (Dollar Amount)

  43. Do you accept state child care subsidy?(*)
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  44. 0-11 Months(*)
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  45. 1 Year(*)
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  46. 2 Years(*)
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  47. 3 Years(*)
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  48. 4 Years(*)
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  49. 5 Years (not in kindergarten)(*)
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  50. Kindergarten- in school(*)
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  51. Kindergarten- out of school(*)
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  52. School Age- in school(*)
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  53. School Age- out of school(*)
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  54. If you need to update other information or have questions about this form, please contact our office at 801-355-4847 or 866-438-4847 - Monday through Thursday 7:30 AM - 6:00 PM(MST)

Funding for Children’s Service Society is provided by the following organizations and agencies

Ally Bank
American Express
Castle Foundation
The Church of Jesus Christ of Latter-day Saints Foundation
Daniels Fund
Department of Workforce Services – Office of Child Care
eBay Give
Edwards Lifesciences Fund
Energy Solutions
Frances W. Burton Foundation
George & Dolores Doré Eccles Foundation
Henry W. and Leslie M. Eskuche Foundation
Herbert I. and Elsa B. Michael Foundation
In-N-Out Burger Foundation

Intermountain Healthcare Community Partner Fund
John & Dora Lang Foundation
Kennecott Utah Copper Charitable Foundation
Larry H. Miller Charities
Lawrence T. Dee & Janet T. Dee Foundation
Marriner S. Eccles Foundation
R. Harold Burton Foundation
Ruth Eleanor & John Ernest Bamberger Memorial Foundation
Salt Lake County Substance Abuse Prevention Services
Sorenson Legacy Foundation
Sterling & Shelli Gardner Foundation
United Way of Salt Lake
UPS Foundation
Utah Division of Child & Family Services
Utah Health Department, Office of Home Visiting
Utah Masonic Foundation