Childcare needs for Tier 1 and Tier 2 Employees

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* 1. Please provide your contact information (email and cell phone)

Full Name

Email Address

Phone Number

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* 2. Please indicate what Tier 1 Category worker you are

Healthcare personnel

Emergency Medical Services personnel (full-time)

Law Enforcement personnel

Firefighter personnel

Personnel Providing Correctional Services

Public Health Personnel

Court Personnel

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* 3. Please indicate what Tier 2 Category worker you are

Educators

Child care workers

MNDoT employees

State and local essential IT personnel

Substance disorder treatment workers

Water Treatment/Wastewater

Day-to-Day Operations for Gas and Electric Utilities

Emergency Response for Gas and Electric Utilities

Food Distribution Workers

Public Works

Solid Waste Management (waste, recyclable/organics)

Infectious and Hazardous Waste Management

Other Shelter Staff and Outreach Workers

Telecommunication Network Operations

State workers essential to the continuation of Minnesota Unemployment
Insurance

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* 4. Select Grade(s) of your Child(ren)

Preschool Prep

Preschool

Pre-Kindergarten

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* 5. What timeframes do you need (check all that apply)

Before 8 am

8 am - 12 pm

12 pm - 4 pm

After 4 pm

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* 6. What Days do you need care? Please check all that apply.

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays