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First Name (required)

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Last Name (required)

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Email (required)

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Hourly Rate (required)

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Payment Type Accepted

How would you like to receive your pay?

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How many miles are you willing to travel? (required)

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Number of children you feel comfortable watching at one time? (required)

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Are you willing to care for sick children? (required)

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Do you have experience with special needs children?
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Do you feel comfortable with working special needs children? (required)

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Which age groups are you experienced with?

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Briefly describe your experience caring for children: (required)

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Level of Education: (required)

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Years of paid experience? (required)

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