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* 1. Please provide your name, children, and programs. (This is important so that we can reach out to you to follow up if necessary.)

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* 2. Is your employer currently requiring you to work from home?

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* 3. Has your employer indicated you are allowed to work from home?

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* 4. If you cannot work from home, do you have family or friends who could provide childcare in the event of an extended school closure?

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* 5. Is BICCC your only current option for childcare in the event of an extended school closure?

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* 6. If BICCC remained open in the event of an extended school closure, what weekday hours would you require childcare? (Check all that apply.)

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* 7. Any other info you'd like to share:

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