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QRIS Anniversary Award ~ Worksheet

Fill in the charts below with current information. The calculator will determine the number of full-time equivalent children in your care. This information will factor into the QRIS Anniversary Award that your facility may earn by submitting an Application for a QRIS Anniversary Award each year.

The QRIS Anniversary Award is based on goals set and met during the previous year. The actual award will vary based on verification and available funding. The award will be mailed to you after you submit your QRIS Year 2 Improvement Plan, which is included in your Application for a QRIS Anniversary Award.

Follow Steps 1 - 9 and submit a print-out of this page with your Application for a QRIS Anniversary Award.

Today's Date: September 1, 2014 12:30 pm (Mountain Standard Time)

Step 1: What is the facility‚Äôs current STAR Rating?  

1 STAR Rating2 STAR Rating3 STAR Rating4 STAR Rating5 STAR Rating

Step 2: How many goals have you met in the past 12 months?

Step 3-7: See instructions in the box below.

Hours per week
a child attends
Step 3: Enter number of children not eligible for ICCP and without a documented special need Step 4: Enter number of children eligible for ICCP and have a documented special need Step 5: Enter number of children eligible for ICCP only Step 6: Enter number of children with a documented special need only Step 7: Enter number of children age 1 week to 24 months
1 - 10 hours
11 - 20 hours
21 - 30 hours
31 - 40+ hours
Total FTE 0.00 Total FTE children not eligible for ICCP and do not have a documented special need 0.00 Total FTE children eligible for ICCP and have a documented special need 0.00 Total FTE children eligible for ICCP only 0.00 Total FTE children with a documented special need only 0.00 Total FTE children age 1 week to 24 months

Step 8-9: See instructions in the box below.

Hours per week a
staff member works
Step 8: Enter number of staff Step 9: Of these staff, enter the number who have been working at the facility 36 months (3 years) or more
1 - 10 hours
11 - 20 hours
21 - 30 hours
31 - 40+ hours
Total FTE 0.00 Total FTE Staff 0.00 Total FTE Staff employed 3+ years

Page updated April 27, 2011