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Home-based Care for Children of Essential Workers
*
Enter your details
(Required.)
Full Name
Email Address
Mobile Number
Street Address
Town/Suburb
City
Postcode
*
Please provide details for two emergency contact people
(Required.)
Emergency Contact 1 Name
Relationship to your child or children
Contact number
Emergency Contact 2 Name
Relationship to your child or children
Contact number
*
What is the name of the company where you are employed as an Essential Worker?
(Required.)
Which sector of essential work are you employed in?
Accommodation
Border
Building and construction
Courts, tribunals, and the justice system
Education
Fast-moving consumer goods
Financial services
Health
Local and national government
Foreign government
Primary industries
Public safety and national security
Science
Social services
Transport and logistics
Utilities and communications including supply chains
Other (please specify)
Current Progress,
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