Head Start Funding Delays
If your program is actively experiencing issues with the PMS, please fill out the survey below.  If you are a state/regional association, please only list one program at a time. You will have the opportunity to submit information for multiple programs. 
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Email *
What is the name of your program (grant recipient name)?  *
What is the name of the specific center affected?  *
What is the director's email address? *

Which state/territory is your program located? 

*
What is the address of the program?  *
How many Head Start Preschool slots are affected at this center? *
How many Early Head Start slots are affected at this center? *
How many staff members are affected at this center? *
When were funds initially requested?  *
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What is the current status of the request? (Pending, processing, etc.)  *
Has your program stopped services?  *
If yes, when did services stop? 
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YYYY
If not, how are you funding services? When will you be forced to close if you are not able to access funds?
What steps has the program taken since their initial request? Select all that apply. *
Required
Any other information you would like to share with NHSA? 
Can you share information about another center or grant recipient that is experiencing delays in payment? 
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