Join our Provider Network

Join the CGCC Child Care Partners network of providers by filling in the form below. Once enrolled, parents can be referred to your program. Contact us if you have any questions. * Required

Contact Info

About Your Business

When did you first start providing child care serviced?

License Type

Openings and Capacity

Children's Age Range Served


Number of Current Openings

6 weeks - 1 year old
1 - 2 years old
2 - 6 years old
Kindergarten and up
(exclude your own children)


Hours of Operation


Extended Hours (Select all you accept on a regular basis or are willing to consider)


Infants 6 weeks to 1 yr
Toddler, 1 yr to 2 yr
Preschool, 2 yr to 5 yr
Kindergarten and up

Facilities and Services

Select the ethnicity you most relate to or most requested by current staff.
List all schools to which you do or are willing to transport children.
Mark ones you have knowledge of and/or experience with and are willing to accept in your program.

Education, Training and Skills

Accreditations and Affiliations

For information on these agencies, contact Child Care Partners.
Indicate what steps have been achieved by staff or yourself.

Terms and Conditions

I understand that Child Care Partners (CCP), Columbia Gorge Community College, only makes referrals, not recommendations to families.

I agree to assist CCP in maintaining up to date information on child care availability by reporting changes in my Child Care home/business when they occur.

I give CCP permission to release the information on this form to parents seeking child care services.

In addition, CCP occasionally releases the names and addresses of listed providers to carefully screened child care related agencies and organizations. Unless otherwise indicated, I give CCP permission to release my name and address to such agencies and organizations.