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Name of Center*

Year Established*

Licensing Number*

Address*

City*

State Abbreviations*

Zip Code*

County*

Mailing Address (if different)

Phone*

Website*

Center Owner*

Center Director*

Assistant Director

Owner's Email*

Director's Email*

Assistant Director's Email

Who is the primary contact?*

Center's Facebook Handle

Center's Instagram Handle

Center's X (Twitter) Handle

Is the center a 501(c)(3)?*

Texas Rising Star?*

TRS Star Level*

Is the center accredited by NAC or NAEYC?*

Date center was accredited (if applicable)

Hours of Operation

Open at*

Close at*

Is your Center open year round?*

Yes

No

If no, please specify

What curriculum does your center use?*

If Other, please state which curriculum is used.

What ISD Feeder pattern does your center belong to?

Complete the following information on children currently served by the center:

Licensing Capacity*

Capacity for birth-5yrs*

Operating Capacity*

Current enrollment birth-5 yrs*

Number of Classrooms (Infant)*

Number of Classrooms (Toddler)*

Number of Classrooms (PreK)*

Number of Classrooms (ISD PreK Partnership)*

Number of After School Classrooms*

Number of Teachers*

Number of Non-Operational Classrooms*

How many children birth-5 receive CCA/CCMS?*

How many children birth-5 are from families who are eligible for Free or Reduced lunch subsidies through the CACFP/USDA?*

Previous Educational First Steps affiliate*

If yes when?

Why do you want the center to be affiliated with Educational First Steps?*

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Hours of Operation

Complete the following information on children currently served by the center: