Report Form

Please fill out the form below with your information for the dates July 1 2019 – June 30 2020.

If you still need an IECAM password or if you have any questions, please email iecam@illinois.edu.

Who is filling out this form?



Use your facility email address if possible.

Program Indicator

Models

Age of Children

Ethnicity of Children

Please enter total number for each.

Race of Children

Please enter total number for each.

Age of Primary Caregivers

Ethnicity of Primary Caregivers

Please enter total number for each.

Race of Primary Caregivers

Please enter total number for each.

Primary Caregiver Education

Income Data

Program Data on Children