JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
MnECO Toolkit Request Form: Outdoor Learning Support in Response to Covid-19
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email address
*
Your answer
Work location (city & State)
*
Your answer
What kind of program are you involved in?
*
School-based Childcare
Family/home-based Childcare
Childcare Center
Day camp
Public School Program
Private School
Other:
Required
What is your current position? (Check all that apply.)
*
Direct caregiver (face-to-face with children)
Essential worker (emergency childcare)
Administrator/coordinator
Classroom Teacher
Other:
Required
What ages do you serve?
*
Infants
Toddlers
Preschoolers
School aged children
Required
How many students do you serve daily?
*
Your answer
What is your current teacher: child ratio?
*
Your answer
Students at my site are able to follow through with social distancing throughout the day.
*
Always
Mostly
Rarely
Never
How would you like to receive support from MnECO's outdoor childcare model representatives?
*
Phone call with a MnECO representative (Minnesota programs only at this time)
Zoom meeting with small group of outdoor educators and childcare programs
One on one communication with a matched MnECO mentor (Minnesota programs only at this time)
A toolkit with guidance and resources
Other:
Required
How comfortable am I currently with spending extended amounts of time outdoors with students (beyond playground structures)
*
Not comfortable
1
2
3
4
5
Very comfortable
Would you like to or are you currently spending more time outside as a response to COVID-19 in your childcare or educator role?
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
