Name:
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What Part of the city or surrounding area do you live?
Diagnosis?
How many hours per month are you needing?
What days are you needing covered?
What is the pay rate per hour?
How old is your child(ren) that needs the care?
What Specific qualifications are you looking for or needing from a provider?
Are they required to have prior experience or are you willing to train?
Do you have a contract with FSCD?
Will the caregiver need to complete an Intervention Record Check?
Will the caregiver need to complete a Vulnerable Sector Check with the police?
Is a First Aid & CPR Course required?
Do you have other children in the home?
Do you smoke in the home?
Are there Pets in the home?
Is there any other information you would like a potential caregiver to know about you child(ren)?

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