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52 Dovercrest Way S.E.
(403) 273 - 6360
childrenschoice@childcarecalgary.com
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Children's Choice
Community Child Care Services
Day Care
Family Day Homes
Out of School Care
Subsidy Info
Contact Us
Online Forms
Potential Educator Intake Form
Request Child Care Form
Day Care
Family Day Homes
Out of School Care
Subsidy Info
Contact Us
Online Forms
Potential Educator Intake Form
Request Child Care Form
Potential Educator Intake Form
Name
*
Date
*
MM slash DD slash YYYY
Phone Number:
*
Location
*
Past Experience
*
Certification Level
*
no level
Level 1
Level 2
Level 3
Does the applicant have First Aid & CPR?
*
Yes
No
First Aid & CPR Dates
Does the applicant have a Criminal Record?
*
Yes
No
Criminal Record Dates
Occupants in the Home
Occupant 1 - Name
*
Occupant 1 - Age
*
Occupant 1 - Relationship
*
Occupant 2 - Name
Occupant 2 - Age
Occupant 2 - Relationship
Occupant 3 - Name
Occupant 3 - Age
Occupant 3 - Relationship
Occupant 4 - Name
Occupant 4 - Age
Occupant 4 - Relationship
Willing to transport
*
Yes
No
Do you have pets in the home?
*
Yes
No
What kind of pet(s) if 'yes'
Email
*
Full Address
*
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