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15. National
OGRAM IN
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Program S
STRUCTIOte each of the m
Appendix 1
Appendix 2
Appendix 3
Appendix 4
Appendix 5
Appendix 6
Appendix 7
Appendix 8
Appendix 9
Appendix 10
Appendix 11
Programincidents
Any suspensioAny incident th
• The de• A critic
transp• Any un
facility• Any su
progra
BMISSIONcompleted for
NAEYC AcAttn: Qualit1313 L StreWashingto
nature y that the informa
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NFORMAT
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Self Report fore NAEYC AcadEYC of major c
Standards, Eligi
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Change in P
Change in t
Change in G
Change in L
Change in P
Change in O
Merger with
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m staff must subs that may imp
on or revocatihat did or coueath of any chical injury to any
ported by the Enusual incidenty alone) uspected physiam.
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Program Name
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500 4101
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ation of Young
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Page 2
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15. National
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Program Namename to appear
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15. National
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and plans to
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relocation, on
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Page 8
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15. National
ppendix 6
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a program formr is aware of al
t current versiod resources.
the NAEYC AUpdates. Standards and
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Page 9
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15. National
pendix 7: e note the follow
If two or morresulting me
• If a currentlysubject to ad
of merger:
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Program Name:
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ENDIX 7 IS CO
Association f
MERGERwing NAEYC proc
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/ /
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ently accredite
Date: /
een assigned adicate Program
ently accredite
Date: /
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ently accredite
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Page 10
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15. National
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se describe the
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number of chil
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Page 11
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Date
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Total
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15. National
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served, you must
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ON(S)
Suite
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t also complete a
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appendix 8.
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Page 14
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1.) S
Date
Stree
City:
Pleas
Pleas
2.) S
Date
Stree
City:
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15. National
pendix 10about satellite lo
atellite Name:
deleted:
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se describe the
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0: DELETocations on the N
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TION(S)
Suite
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Suite
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Report, Pag
ogram ID#:
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Page 15
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15. National
pendix 11does the court
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Report, Pag
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outcome was.
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