GECC Membership Data Collection Form		      	                 
			                  
Name: ________________________(optional)   email address:___________________(optional)

____Teacher			  ____Parent		        ____Home-based Childcare Provider
____Organization		  ____Business	        ____Center-based Childcare Provider
____Preschool Program	  ____Retired		        ____Other


From your perspective as a home-based provider, center-based provider, parent, educator, etc., 
what attracted you to the GECC?





What benefit do you hope to gain from your involvement with the GECC?





What benefit is there to be on the Council for:

a.	a local business owner?




b.	a national business partnership?




c.	a center-based childcare provider?







d.	a home-based childcare provider?




e.	a teacher?




f.	 a town administrator?




g.	a parent?




h. 	a retired individual?



Do you think we need to attract more members?
____Yes			____No


If so, how should we?





How would you suggest that we keep/retain members? What works best for you?





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