* 1. Are you a home provider or a Day Care Center?

* 2. What is your name or the name of your program?

* 3. How many total vacancies do you currently have in your program?

* 4. Are these vacancies for the day shift or the evening shift?

* 5. If you are a daycare home provider, how many full time enrolled children do you have?

* 6. Has anything changed about your program since the last time you spoke with us?

* 7. Is there anything else we should know? Comments, Questions, Concerns?

* 8. PLEASE PROVIDE A CONTACT NAME AND PHONE NUMBER OR EMAIL ADDRESS SO THAT WE CAN CONTACT YOU IF WE HAVE FURTHER QUESTIONS.

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