Program Grant Process Advisory Committee Application

Program Grant Process Advisory Committee Application

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APPLICATION DEADLINE:

Friday, February 10, 2022

What is a Rulemaking Advisory Committee (RAC)? Visit the Early Learning Division website to learn more: https://oregonearlylearning.com/RAC

The Early Learning Division is seeking diverse voices to represent early care and education providers who provide early learning programs through the state, such as Preschool Promise, Oregon Pre-Kindergarten, and the Early Childhood Equity Fund. Please consider applying to provide feedback on your experience working with the state through the Program Grant Process Rulemaking Advisory Committee (RAC).

ADDITIONAL QUESTIONS?

Feel free to contact the Division’s Rule Coordinator Remy Watts at (503) 701-1535 OR remy.watts@ode.oregon.gov. We look forward to working with you!

Full Name*

Email*

Mailing address*

Please share the address that you would like mail delivered to.

Preferred telephone number

Preferred Pronouns

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Other Pronouns

Please describe:

What group do you represent?*

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Describe the children in your care.

How many children do you have in your care? How old are they? Please note whether they have special needs and whether you interact with government support programs around those needs.

Where do you teach?

Which Hub or CCR&R do you represent?

Which Tribal Nation do you represent?

What organization do you work for?

Other group represented

Please describe the group you represent.

Demographic Information

To better assist us in meeting our affirmative action objectives, we would appreciate information about your gender identity and background. This information is optional and is used for data collection only. Under state and federal law, this information may not be used to discriminate against you. Thank you for your participation.

Race / Ethnicity

Please select all that apply.

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Other Race / Ethnicity

Please describe:

Gender Identity

Please select all that apply.

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Other Gender Category / Identity

Please describe:

Sexual Orientation or Identity

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Other Sexual Orientation or Identity

Please describe:

Languages Spoken

What languages are you fluent in? Please select all that apply.

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Other Languages Spoken

Please describe:

Disability

Do you have a physical, mental, and/or emotional disability or condition?

Select

Application Questions

Please provide brief answers (1-3 sentences) to the questions below.

Why do you want to be on this RAC?

Do you have any previous work or volunteer experience that would be applicable to this RAC?

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