School District of Childcare Center Name:

Contact Name:

Telephone:

Address:

Email:

Do you have an official policy statement concerning pest management?

How do you perform pest control? (Indoor, outdoor, in-house, contract, etc.)

If you contract, please provide the name of the pest control company(ies) that service your facility.

Do you currently use IPM to control pests?

If no, have you considered implementing an IPM program?

Do you do routine scheduled spraying of pesticides?

How much do you spend on pest management annually?

Who makes the decision when and where pesticides will be applied? (Prinicipal, administrator, designated employee, pest control supervisor/technician, IPM coordinator, maintenance employee, custodian, etc.)

What materials and methods do you use for pest management? (Spray or spot-spray, crack and crevice treatments, dust or bait, foggers or thermal fog, vacuum, rodenticides indoors or outdoors, capture devices, etc.)

What is the frequency of pesticide application for the following areas? (as needed, monthly, quarterly, semi-annually, annually, other)

 Food service

 Classrooms

 Administrative offices

 Grounds

 Other (specify)

Is the frequency of application about the same for all the schools in the district?

Who applies pesticides in your school district? (routinely, for complaints, in emergencies, etc.)

 Teachers or staff

 Vo-Ag teachers

 Custodians

 Maintenance employees

 In-house pest control technicians

 Contracted pest control technicians

 School volunteers

 Other (specify)

Are any of these people state-certified applicators?

Estimate the percentages of the following methods of pesticide treatments used in your pest control program.

 Surface sprays

 Crack/crevice

 Dusts

 Baits

 Granules

 Aerosols/fogging

Rank the following pests from the most important (10) to least important (1) in your facility.

 Cockroaches

 Ants/fire ants

 Rodents

 Spiders

 Wasps

 Head lice

 Snakes

 Landscape insects and diseases

 Weeds

 Other

How are most pesticides stored in your school district? (district-wide designated storage facility, school-site designated storage, district-wide warehouse with other items, etc.)

Where do you obtain information on pest management? (cooperative extension service, pest control contractor, vendors/manufacturers, etc.)

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