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Select ALL Program Type(s) that apply
Licensed Type I
State Funded Pre-K
Licensed Type II
Head Start Delegate
Please complete the following
Name of Facility
Address of Facility
Mailing Address of Facility
School District (if applicable)
Phone Number (xxx) xxx-xxxx
School ID Number
Please enter the number of children enrolled
Infants and Toddlers (0 - 30 months)
Preschool (30 - 60 months)
School Age (5 yrs - 12 yrs)
Number of children receiving child care subsidies
Under age 3 (birth to 3rd birthday)
Age 3 and over
Did you receive technical assistance prior to your Kentucky All-STARS rating visit?
As an applicant for Kentucky All STARS, I agree to receive coaching and technical assistance and to provide all required information and documentation as part of the process.
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