Form C-0039 Staff Roster

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NAME OF CENTER:_______________________________
DATE:______________________________
STAFF ROSTER
NORMAL DAILY ATTENDANCE FOR INFANTS AND PRESCHOOL CHILDEREN:
NAME
1. List ALL personnel including director, child care staff, support staff, and regular substitutes.
3. Use the graph to document work hours. Indicate breaks and lunch times.
2. Indicate who is in charge during director's absence by placing * next to the name(s).
4. Use the area on top of the form where time is listed to shade in the planned
activity time.
C-0039 Required Form (09/11)
C:\Documents and Settings\SchneiderKX\Desktop\C-0039 Staff Roster
Page 3 of Application

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