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Username
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Email
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Password
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Community Name
Organization Type
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Center-Based Child Care
Head Start/Early Head Start
Home/Group Home-Based Child Care
Infant Learning Program
Medical Practice
Parents as Teachers/Home Visiting
Private Pre-Elementary Program
Public Health Nursing
School District Pre-Elementary Program
Tribal/Community Health
Other
None
If "Other," what is the organization type?
What is your professional role?
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Child Health Care Provider
Community Health Aide
Early Childhood Education - Administrator
Early Childhood Education - Other
Early Childhood Education – Lead Teacher
Early Childhood Education- Assistant Teacher
Early Intervention Direct Service Provider
Early Intervention Program Staff
Home Visitor
Other
None
If "Other," what is your professional role?
Do you have experience administering developmental screenings to children and/or interpreting results with families?
Yes
No
If yes, please describe your experience
Have you received training on providing developmental screening previously?
Yes
No
If yes, please describe your training
Have you already taken the recommended prerequisite Learn the Signs. Act Early. "Watch Me" training?
Yes
No
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