INTEREST FORM E-Course: Harnett Strong Start SEL Foundations and Resiliency in Infants and Toddlers Date Full Name: Cell Phone #: Work Phone #: Email Address: Name of Child Care Facility Where You Are Employed: Work Hours Full Time Part Time What hours do you normally work? What Age Group Do You Currently Work With? NoneInfants 0-1Toddlers 1-2Two-year old’s 2-3Preschool 3-5 How Many Years of Early Childhood Experience Do You Have? 0-1 years of experience1-3 years of experience3-5 years of experience5-10 years of experience10 or more Highest Level of Education Completed: High SchoolCredential and or/AdministrationSome College beyond Credentials and or/AdministrationAssociate DegreeBachelor’s DegreeMaster’s DegreeDoctorate Please tell us in what ways you would benefit by participating in the E-Course: Harnett Strong Start - SEL Foundations and Resiliency in Infants and Toddlers. Participation Commitment I have read the Participation Commitment and will be able to commit to the required expectations. Send