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Infant _ Toddler Child Care Initiatives

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					                               Infant & Toddler Child Care Initiatives
                                          Nomination Form
                       The Initiative is developing a database of infant and toddler child
                       care initiatives. Use this form to nominate an initiative for inclusion in
                       the database. The information you provide will be used by Initiative
                       staff to gather further information and details about the initiative. Self-
                       nominations are welcome.



Your Name                                                Title_____________________________
Affiliation
Address


Telephone
E-mail


Name of Initiative_____________________________________________        ___________________
Website
Contact Person                                           Title
Sponsoring Organization_____________________________________________________________
Address_____________________________________________________________________________


Telephone
Email
                                  Please return this form to:
                                        ZERO TO THREE
                       National Infant & Toddler Child Care Initiative
                                 2000 M Street NW, Suite 200
                                   Washington, DC 20036
                                        (202) 638.1144
                                     (202) 638.0851 (fax)
                                    itcc@zerotothree.org

				
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posted:10/31/2011
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