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Quality Counts For Family, Friend, and Neighbor 20-21
This is the registration form for Individuals interested in participating in the Tuolumne Quality Counts Professional Development Program.
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Please complete this application if you are interested in a Quality Counts stipend for yourself this year.
You will be contacted by a Quality Counts representative within a month. The deadline for applying is December 31, 2020.
Please make sure you have read the 2020-2021 Quality Counts Guidelines for FFN Stipends. They may have been sent to you by email, and are available on the First 5 Website. ("Apply For a Quality Counts Stipend" section - click on "How To Earn a Stipend.")
Link to First 5 website:

To get started, let's check on your eligibility.
The following are eligibility requirements:
1. You must work with a Quality Counts representative to agree on specific site-based quality improvement activities over the course of the fiscal year. For FY 20-21, this will be Suzan Greenwood (ICES)
2. To earn a stipend you must be willing to fill out a W9 form, to allow for payment processing through First 5 Tuolumne.
Do you believe you can meet the eligibility requirements? *
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