Child Care Connect Works
CCCW
Section 1: Organization Profile & Workforce Context
Let's start with a few quick details about your organization so we can tailor our support.
1. Organization Name:
*
2. Primary Contact Name:
*
First Name
Last Name
Primary Contact Title
*
3. Contact Email:
*
example@example.com
Contact Phone
*
Format: (000) 000-0000.
4. Primary County/Location(s) in Kansas:
*
5. Primary Industry Sector:
*
Please Select
Manufacturing
Healthcare & Social Assistance
Education & Child Care
Professional & Business Services
Retail, Hospitality & Food Service
Agriculture, Ag-Business & Construction
Public Sector / Government
Other
6. Total Number of Employees (Local/Statewide):
*
Please Select
1–20 employees
21–50 employees
51–250 employees
251–500 employees
501+ employees
7. Workforce Operating Structure: (Check all that apply)
*
Primarily traditional daytime shifts (Mon–Fri)
24/7 operations / non-standard shift work (evenings, nights, weekends)
Remote / Hybrid flexibility
Back
Next
Section 2: Current Landscape & Benefits
Tell us what supports or benefits your organization currently provides.
8. Which of the following, if any, does your company currently offer to support working parents and child care needs? (Check all that apply)
*
Dependent Care Flexible Spending Account (DCFSA)
Flexible work hours, compressed schedules, or remote-work options
Resource and referral navigation (sharing local resource links with staff)
Direct financial stipends, child care subsidies, or backup care programs
On-site or near-site child care facility / reserved slots
None of the above / Not sure what is available
Back
Next
Section 3: Readiness & Strategic Pathways
Help us understand where your organization is in addressing employee child care challenges.
9. How would you best describe your organization's current stance on addressing employee child care needs? (Select one)
*
Stage 1 (Exploratory): We are just beginning to look at how child care impacts our workforce and want to learn about options and tax incentives.
Stage 2 (Evaluating Options): We know child care is impacting our retention/recruitment and are actively comparing strategies (e.g., financial benefits, tax credits, or platform solutions).
Stage 3 (Action-Ready): We are ready to implement a solution, set up benefits, or connect with the CCCW team within the next 3 to 6 months.
10. What specific paths or benefits is your organization most interested in exploring right now? (Check all that apply)
*
Financial Contributions & Benefits: Implementing employer-sponsored child care stipends or tuition assistance.
Pre-Tax Employee Benefits: Setting up or expanding a Dependent Care Flexible Spending Account (DCFSA).
Workplace Flexibility & Policy: Enhancing shift flexibility or emergency backup care options.
Platform & Slot Access: Utilizing a dedicated employer portal to connect employees with verified local child care slots and subsidy navigation.
Facility & Partnership Models: Exploring near-site, on-site, or consortium-based child care partnerships.
Tax Incentive Navigation: Understanding how to claim the Employer-Provided Child Care Tax Credit and state-level incentives.
11. What is your primary motivation for exploring child care solutions today? (Select up to two)
*
Difficulty recruiting new talent/open positions sitting empty
Employee turnover or valued parents leaving the workforce
Absenteeism, tardiness, or productivity loss due to care breakdowns
General employee wellness/corporate social responsibility
Other
What happens next?
By submitting this assessment, you are taking the first step toward strengthening your workforce and supporting working families. Our team will review your responses and email your customized resource packet directly to you. Based on your goals, your regional technical assistance specialist or our Child Care Connect Works (CCCW) team will follow up to help you explore tax credits, benefits, or platform solutions—with zero pressure.
By submitting, you agree to receive communications from Child Care Aware of Kansas regarding the CCCW initiative.
Submit
Should be Empty: