Contact Information

Owner / Director full name *

Program Name *

Program Address *

ZIP Code *

Phone *

Email *

How did you hear about PositionED for Pre-K? *

Program Profile

Program type *

Is your program located in Baltimore City? *

MSDE license number *

How long has your program been operating? *

Licensed capacity *

Current enrollment *

EXCELS & Quality Goals

What is your current Maryland EXCELS status? *

What is your biggest quality or growth goal for the next 12 months? *

Have you ever applied for the Pre-K Expansion Grant (PKEG)? *

Are you interested in pursuing accreditation? *

Commitment

Cohort participation includes monthly group convenings (in person) and monthly 1:1 coaching sessions for 12 months. Are you able to commit to full participation? *

Who from your program will be the primary participant? *

Anything else you’d like us to know about your program or your goals? *

I confirm the information above is accurate, and I understand that if selected, my program commits to active participation in coaching, convenings, and quality advancement planning for the full cohort year.

By checking this box, I consent to receive marketing, non-marketing and promotional messages including special offers, discounts, new service updates among others from The Academy Builders at the email provided.

Date Signed *

Signature *

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