Non-CCAP Infant & Toddler Bonus - Monthly Attendance Reporting
Please complete this form each month for all infants and toddlers who are not receiving CCAP. Enter the information exactly as it appears in your licensing records and enrollment files. Payments are processed on the 10th of every month. All payment requests need to be submitted by the 5th of the month to be processed in that month. If submitted after the 5th, all eligible payments will be processed in the following month.
Provider License Number
*
Enter your complete North Dakota child care license number, Enter the license number without dashes or spaces. Example: 12345678A. This must match the license on file with the Department.
Service Month
*
-
Month
-
Day
Year
Date
IMPORTANT: Enter NON-CCAP children only. Do NOT include CCAP children.
Child's Information
*
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Metrics Collected Through the Infant and Toddler Bonus Reporting
Month
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Who is completing this form
*
Enter the full name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Program Enrollment Metrics
Number of infants (0-17 months) enrolled in the program
*
Number of enrolled infants receiving Child Care Assistance
*
Number of toddlers (18-35 months) enrolled in the program
*
Number of enrolled toddlers receiving Child Care Assistance
*
Workforce Stability Metrics
Did infant or toddler classrooms experienced teacher turnover in the past month
*
Yes
No
Number of infant and toddler teachers who left or were moved to a different classroom
*
Number of infant and toddler classrooms that experienced turnover in the past month
*
Capacity Expansion Metrics
Did the program increase the number of infant and toddler spaces in the past month
*
Yes
No
Number of new infant or toddler slots created
*
How many total infant toddler spots are you able to continue or sustain based on the infant toddler bonus
*
Did you increase the number of infant or toddler spaces in the past month, or past year based on need or because of the planned Infant Toddler Bonus
*
No
Yes
Number of new infant or toddlers slots added
*
Funding Use Metrics
Categories of spending supported by the Infant and Toddler Bonus, including
*
Normal Staff wages
Staff wage increases
Staff benefits
Staff bonuses
Professional development/training
Facility management or improvements in infant/toddler classrooms
Equipment for infant/toddler classrooms
Health and safety products or services
Curriculum and materials
Other
Submit
Should be Empty: