FY10 Universal Pre-Kindergarten(UPK) Classroom Quality
Grant Renewal RFR Questionnaire
Introduction
Deadline: Your response to this questionnaire must be received by EEC by 4:30 pm on July 17, 2009. Applicants must
choose only one method of submission, online or hard copy. Completing the survey online is strongly encouraged, but not
required. Please refer to the FY10 Universal Pre-Kindergarten (UPK) Pilot Classroom Quality Grant Renewal RFR for
instructions on submitting a hard copy (http://www.eec.state.ma.us/kr_grant_submit.aspx).
Please refer to the RFR posted on EEC’s website before completing this questionnaire. As described in the RFR, completion
of this questionnaire is a required part of the renewal process. This data will help demonstrate your ongoing eligibility for
the grant.
Please note: EEC does not plan to use this enrollment data to determine FY10 program award amounts; given the level of
expected reductions in available funds, FY09 enrollment data will be used to calculate FY10 grant awards with across-theboard reductions subject to final budget appropriations. However, please enter complete and accurate data, as information
collected may be used for planning purposes.
For questions about this questionnaire, please contact Kelly Schaffer at kelly.schaffer@state.ma.us.
FY10 Universal Pre-Kindergarten (UPK) Classroom Quality Grant Renewal Questionnaire for
Center-based Programs
Lead Agency/District/System Name: ___________________________________________
Program Name: _____________________________________________________________
Program Number: ___________________________________________________________
Program Address: ___________________________________________________________
Contact Person: _____________________________________________________________
Title: _______________________________________________________________________
E-mail Address: ______________________________________________________________
Phone Number: ______________________________________________________________
Program Information
1. As of May 1, 2009, is the program currently accredited by the National Association for the
Education of Young Children (NAEYC)? ____ Yes ____ No
NAEYC Accreditation Number:
NAEYC Accreditation expiration date:
2. Does the program or provider currently use the Guidelines for Preschool Learning Experiences
to plan the curriculum and Early Childhood Program Standards for Three and Four Year olds
(not applicable to family child care) to plan the curriculum and activities for preschool children?
____ Yes ____ No
3. Which one of the four EEC approved assessment instruments is used to assess preschool
children in the program?
____ Creative Curriculum Developmental Continuum
____ Work Sampling
____ High Scope COR
____ Ages & Stages
4. When did the program start using this assessment tool? ______ (mm/yyyy)
Please reply with information regarding the entire program at this site as of May 1, 2009, unless
otherwise noted. Please note that if your agency has more than one grantee site, you will need to
submit a separate questionnaire for each program site.
5. Number of preschool children (2.9 years until Kindergarten eligible) enrolled at this site? ____
6. Number of preschool children (2.9 years until Kindergarten eligible) at this site whose
enrollment is funded through EEC Financial Assistance (vouchers or contracts), Head Start, or
private scholarship*? Please only count each child once (by primary funding source).
* Please only count children with private scholarships with monthly incomes (for a family of three) at or below 85% of
the state median income ($5,554/month)
_____
7. Does the program fund children through private scholarships? ____ Yes ____ No
Classroom Eligibility Information
8. As of May 1, 2009, what is the total number of preschool classes in the program site?
Note: For purposes of this RFR, a classroom refers to a specific group of children. If there are separate morning and
afternoon sessions, please enter each session as a distinct “classroom.” If you have questions about how your
program’s information should be entered, please contact Kelly Schaffer at kelly.schaffer@state.ma.us.
_____
9. For how many preschool classrooms is the program requesting FY10 UPK Classroom Quality
renewal funding? _____
NOTE: For each of the preschool classes for which the program is requesting renewal funding,
please complete question 10. Please also fill out question # 10 for each additional preschool
classroom/home in your current site or family child care system that you would like to seek UPK
funding for if resources are available (the status of these classrooms in #10 should be "Non-UPK
classroom"). This information will also help EEC better understand the unmet need in current sites.
10. Complete the following information for each of the preschool classrooms for which the
program is requesting renewal UPK funding (the status of these classrooms should be "UPK
classrooms") and for any additional preschool classrooms in your current site (the status of
these classrooms should be "non-UPK classrooms").
UPK Funding Status: ____ Current UPK classroom ____ Non-UPK classroom
Classroom Name: _____________________________________________________
Teacher's Name: ______________________________________________________
EEC certification or DOE license number: __________________________________
Highest Degree obtained (please select the highest degree obtained): ___ HS diploma/GED
___CDA ___AA ___BA/BS ___Masters ___Doctorate ___No Degree
Second Teacher's Name (if applicable): _____________________________________
Second Teacher's EEC certification or DOE license number: ________________________
Second Teacher's highest degree obtained (please select the highest degree obtained): ___ HS
diploma/GED ___CDA ___AA ___BA/BS ___Masters ___Doctorate ___No Degree
Number of hours per day that classroom operates: ____
Number of days per week that classroom operates: ____
Number of weeks per year that classroom operates: ____
EEC does not plan to use this enrollment data to determine FY10 program award amounts; given the level of
expected reductions in available funds, FY09 enrollment data will be used to calculate FY10 grant awards with
across-the-board reductions subject to final budget appropriations. However, please enter complete and accurate
data, as information collected may be used for planning purposes.
Please list, as of the two weeks below, the FTE enrollment of preschool children in this classroom/home by funding
source. If children are funded by more than one source, please list them only once, counting the primary funding
source. Please enter 0 if zero is the correct response or your response will not be considered complete.
Please Note: FTE enrollment in a classroom or family child care homes for purposes of this questionnaire is defined
as the sum of the proportion of time that each child in a classroom or home is enrolled during the specified weeks
relative to the total number of hours that the classroom or home is in operation.
As examples, if classroom A is open 50 hours per week and includes 15 children enrolled full-day full-week and 5
children enrolled full-day for three days per week (or 60% time), the FTE enrollment is 15 + 0.6 (5) = 18. If
classroom B is open 20 hours per week (5 days for 4 hours each day) and includes 10 children enrolled full-week
and 10 children enrolled for two days per week (or 40% time), the FTE enrollment is 10 + 0.4 (10) = 14.
Week of Nov 3, 2008
1. FTE classroom enrollment of preschool children:
2.
FTE classroom enrollment of preschool children receiving EEC financial
assistance (voucher or contract), Head Start or private scholarship*:
3. FTE classroom enrollment of preschool children receiving Head Start funding:
4. FTE classroom enrollment of preschool children receiving voucher funding:
5. FTE classroom enrollment of preschool children receiving contract funding:
6.
FTE classroom enrollment of preschool children receiving private scholarship
funding:
Week of Apr 6, 2009
7.
As of May 1, 2009, what is the number of children in the classroom with IEP's:
* Please only count children with private scholarships with monthly incomes at or below 85% of
state median income for a family of three ($5,554/month).
Note: The total number of children receiving financial assistance (line 2) must be equal to the
sum of children receiving financial assistance by type (lines 3,4,5 and 6).