Peer to Peer Business Coaching Cohort #6 Application Form

Peer to Peer Business Coaching Cohort #6 Application Form

This application helps us understand why you want to join the program, your current needs, strengths, and growth areas. Your responses will help us: Select participants most ready to engage and benefit, Match you with a peer partner and coach, Tailor subject matter expert content to your needs, and align you with a fellow in your area.
- Provider/Owner's Name:
  
  First NameLast Name
- Provider/Owner's Cell Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Provider/Owner's Email Address
  example@example.com
- Parish Provider/Owner lives in
- Number of Years you have owned/operated center
- I own the following number of ECE centers:
- Name of Center:
- Center's Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Center's Email Address
  example@example.com
- Parish Center is located in
- Type of Center:
- Center's Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Current Star Rating:
- How many years has this center operated
- License Capacity for Center
- Current enrollment for Center
- Number of Staff and Roles at this center: Ex. Director (is that you or someone else), Assistant Director (1), Cook (1), Lead Teachers (#), Assistant Teachers (#), Floaters (#). Please feel free to add additional details such as Infant Teacher, Toddler Teacher, Coaches, etc.
- Does all of your staff have their CDA or higher credentials at this center?
- If all of your staff does not have their CDA or high credential at this center, how many are in need of their CDA?
- Are you currently hiring staff at this location?
- I am ________ on the Food Program?
- Are you a current member of 4PXP?
- Why did you join 4PXP? If you are not a current member, why are you interested in joining 4PXP? What are you hoping to get out of 4PXP?
- What motivates you to join this Peer to Peer Business Coaching Cohort #5? Please be specific.?
- How do you see this program helping you and your business?
- What are your three biggest areas of concern in running your business? (e.g., budgeting, hiring, enrollment, advocacy)
- What do you hope to accomplish by the end of this 6-month program?
- For each of the areas below, please rate your current status (1 = Needs Major Improvement; 5 = Excellent/Thriving)
  , tell us what is going well, and what needs improvement:
- Financial Management (Budgeting, Cash Flow, Compensation)
- What’s going well in Financial Management (In one or two sentences, or as many as needed to ensure your message is clear.):
- What needs improvement in Financial Management (In one or two sentences, or as many as needed to ensure your message is clear.):
- Internal Controls & Operations (Policies, Handbooks, Compliance)
- What’s going well in Internal Controls & Operations (In one or two sentences, or as many as needed to ensure your message is clear.):
- What needs improvement in Internal Controls & Operations (In one or two sentences, or as many as needed to ensure your message is clear.):
- Workforce & Retention (Hiring, Onboarding, Benefits, Staff Stability)
- What’s going well in Workforce & Retention (In one or two sentences, or as many as needed to ensure your message is clear.):
- What needs improvement in Workforce & Retention (In one or two sentences, or as many as needed to ensure your message is clear.):
- Marketing & Enrollment Growth (Branding, Outreach, Customer Service)
- What’s going well in Marketing & Enrollment Growth (In one or two sentences, or as many as needed to ensure your message is clear.):
- What needs improvement in Marketing & Enrollment Growth (In one or two sentences, or as many as needed to ensure your message is clear.):
- Advocacy & Networking (Policy Engagement, Connecting with Other Providers)
- What’s going well in Advocacy & Networking (In one or two sentences, or as many as needed to ensure your message is clear.):
- What needs improvement in Advocacy & Networking (In one or two sentences, or as many as needed to ensure your message is clear.):
- Leadership & Strategic Planning (Vision, Planning, Time Management)
- What’s going well in Leadership & Strategic Planning (In one or two sentences, or as many as needed to ensure your message is clear.):
- What needs improvement in Leadership & Strategic Planning (In one or two sentences, or as many as needed to ensure your message is clear.):
- Licensing & Health & Safety (Compliance, Inspections, Preparedness)
- What’s going well in Licensing and Health & Safety(In one or two sentences, or as many as needed to ensure your message is clear.):
- What needs improvement in Licensing and Health & Safety(In one or two sentences, or as many as needed to ensure your message is clear.):
- Are you currently involved in any advocacy efforts (local, state, national)? If yes, please describe.
- Have you participated in events such as Day Without Child Care, Days at the Capitol, testifying at the capital or speaking at community meetings? If yes, please describe.
- What other organizations or networks are you a part of (CCR&Rs, Ready Start Network, associations, organizations, etc.)?
- List your credentials (CDA, degrees, certifications, pathway trainer, LELA graduate, etc.).
- Are you able to commit to: Weekly Tuesday sessions (12–2 PM)? Excluding the Tuesday prior to Thanksgiving (Nov 25th), Christmas (December 23rd), and New Year's (December 30th).
- Are you able to commit to: Bi-Monthy Thursday, Let's Talk Advocacy sessions (12–1 PM)?
- Are you committed to completing pre/post surveys, homework, and advocacy actions?
- Do you have reliable technology (computer with internet access) for virtual sessions?
- Why should you be selected for this program?
- What unique perspective or experience would you bring to the cohort?
- Consent and Commitment StatementBy signing below, I affirm that I understand the commitments and expectations of the Peer-to-Peer Cohort #5 (including weekly meetings, data collection, homework, advocacy participation, and conference attendance). I declare that the information provided in this application is accurate to the best of my knowledge. I agree to actively participate and support my peers throughout the program.Applicant Signature:
- Should be Empty: