Quality First Application

Provider Type*
- Center Child Care Provider
- Family/Home-Based Child Care Provider (DES Certified)
If a home provider, does the person with the primary responsibility for the care of the children have a high school diploma/equivalent?*
- Yes
- No
Organization Name*
Site Name*
Name written on license.
Is your program part of a larger organization / corporation?*
- Yes
- No
Organization / Corporation Name*
What is the name of your parent organization / corporation?
District / Regional Manager Name*
District / Regional Manager Position / Title*
District / Regional Manager Email*
District / Regional Manager Phone*

Site Address*
Site Street Address Site City Site State Site Zip Site Country
Website
Mailing Address
Same as Site Address

Mailing Street Address Mailing City Mailing State Mailing Zip Mailing Country

Primary Contact
Primary Contact Name*
Contact First Name Contact Last Name
Primary Contact Title*
Primary Contact Phone*
No Primary Contact Email
- My contact does not have an email address
Primary Contact Email*
Your Information (Person filling out this application)
Same as Primary Contact
- Same as primary contact above
Your Name*
Your First Name Your Last Name
Your Title*
Your Phone*
Your Email*
Primary Program Designee
Same as Primary Contact
- Same as primary contact above
Primary Program Designee*
Primary Program Designee First Name Primary Program Designee Last Name
Primary Program Designee Title*
Primary Program Designee Phone*
Primary Program Designee Email*

Are you a regulated program?*
- Yes
- No
Please list all license and/or certification numbers that apply to your program. Please enter license numbers according to the examples shown. Regulated means licensed, certified or monitored by Arizona Department of Health Services, Arizona Department of Economic Security, United States Department of Defense, United States Health and Human Services (Head Start Bureau) or Tribal Governments.
DHS License #
(Ex. CDC1234) (Ex. SGH5678) Please do not include any hyphens.
DHS License Expiration Date
Date Format: MM slash DD slash YYYY
DES Certification #
(Ex. P0001234)
DES License Expiration Date*
Date Format: MM slash DD slash YYYY
Tribal #
(Ex. Head Start Grant Number or CCDF Number)
Military #

Language(s) Used for Instruction (Check all that apply)*
- English
- Spanish
- Other
Other Language*

How did you hear about Quality First?*
Please check all that apply.
- Web site search
- Regular mail
- Email
- Workshop or training
- Friend or colleague
- Community forum or event (not a training or workshop)

Consent for Program Assessment (Click to read)*
I have read and understood the process for initial program assessment and Star Rating. I give consent to receive an initial program assessment and Star Rating if I am selected for participation.
Consent for Program Assessment and Star Rating

If selected for participation in Quality First, you will be contacted to verify your program information and schedule an initial program assessment. A Quality First assessor will visit your program and conduct classroom observations and teacher interviews. The assessor will then complete a formal assessment report and determine your program’s scores on one or more assessment scales. These scores will be used to determine your Quality First Star Rating and the benefits and supports your program is eligible to receive. (Your initial star rating will not be made public).

Upon completion of your initial program assessment, you will be assigned a Quality First coach and have the opportunity to officially enroll in Quality First. Your coach will review the scores of your program assessments and your initial Quality First Star Rating, and together you will create a plan to improve the quality of your program.

If you choose not to enroll in Quality First, your program may be ineligible for other funding or services available through First Things First.

To submit an application online, click below to begin the process.
Consent to Submit Application*
By checking this box, I the applicant, acknowledge that I have reviewed this application and affirm that all the information contained within it is true and accurate. I understand that all information will be verified prior to enrollment with Quality First!

The Quality First Application

Step 1 of 7

Primary Contact

Your Information (Person filling out this application)

Primary Program Designee

Consent for Program Assessment and Star Rating