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FY26 Market Rate Survey Questionnaire

Step 1 of 4

25%
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West Central Child Care Connection

510 Maine Street, Suite 610 • Quincy, Illinois 62301
(217) 222-2550 • (800) 782-7318 • FAX (217) 222-3133 • www.wcccc.com

Program Information

You must fill out all program information before submitting this form.
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Mailing Address

About You

Primary Contact Person(Required)

Program Attributes

License Status
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Referral Status
Special Funding (check all that apply)
Provide Respite Care
(Occasionally care for children with special needs)
Special Needs Categories (check all that apply)
Extra Care Services (Check all that apply)
Care Schedule (check all that apply)
Financial Assistance for Families (check all that apply)
Program Environment (check all that apply)
Transportation offered (check all that apply)
Meals (check all that apply)
Languages (check all that apply)

PROGRAM SERVICES LISTING

Daily Schedule (Check all that apply)
Full Day
Start Time
:
End Time
:
AM Session
Start Time
:
End Time
:
PM Session
Start Time
:
End Time
:
Infants (0-14mos)
Licensed Capacity
# of Full-time enrollment
# of CCAP Children
# of Vacancies
Full-time Rates
Toddlers (15-24m)
Licensed Capacity
# of Full-time enrollment
# of CCAP Children
# of Vacancies
Full-time Rates
2yr Olds
Licensed Capacity
# of Full-time enrollment
# of CCAP Children
# of Vacancies
Full-time Rates
3-4yr Olds
Licensed Capacity
# of Full-time enrollment
# of CCAP Children
# of Vacancies
Full-time Rates
5 – Pre-K
Licensed Capacity
# of Full-time enrollment
# of CCAP Children
# of Vacancies
Full-time Rates
B/A School Age
Licensed Capacity
# of Full-time enrollment
# of CCAP Children
# of Vacancies
Full-time Rates
Additional Fees (check all that apply)

Program Specifics

Written Policies
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West Central Child Care Connection

510 Maine Street, Suite 610
WCU Building 6th Floor
Quincy, IL 62301

1-800-782-7318
or 217-222-2550
Fax: 217-222-3133
Map to WCCCC
Illinois Department of Human Services Logo
This agency is funded by the Statewide Child Care Resource & Referral System of the Illinois Department of Human Services. WCCCC provides services to parents and providers in the following counties: Adams, Brown, Calhoun, Cass, Greene, Hancock, Jersey, Pike, Schuyler
© 2025 West Central Child Care Connection.