Washington County Forms

2. Nomination is due by January 31, 2024.

   Every year, Washington County recognizes one Licensed Family Child Care Provider for providing quality child care, being a vital part of our community, and making it possible for children to grow and learn in a safe, healthy environment. 

   The chosen provider will receive special recognition from the Washington County Board of Commissioners and the Child Care Licensing team. 

   Nominate your licensed family child care provider today.

   Nominations can also be received by sending an email or mailing to: Washington County Licensing Unit, P.O. Box 30, Stillwater, MN 55082-0030.

4. Nominee/Provider*
5. City*
7. How long has your child(ren) attended or have you known this child care provider?*
9. Describe how your provider shows he/she respects the parent's choices when providing care.*
11. Describe ways the provider goes above and beyond your expectations.*
13. How has this child care provider impacted the lives of the children in his/her care?*
15. Describe the provider's enriched curriculum, daily plans, weekly activities, and/or outdoor activities.*
17. Describe the child care environment or organization of space that makes an impact on learning or development.
19. How does the provider incorporate cultural diversity into the program?*
21. Explain how the provider cares for children with special needs or disabilities.*
23. May we share a copy of this nomination form with this child care provider?*

    1. Yes
    2. No
25. Submitted by*
26. Submitter's Phone #*
27. Date Submitted*
    Date Submitted

29. Submit nominations by January 31, 2024.

    Thank you for taking this opportunity to nominate your outstanding licensed family child care provider!

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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field