Child Day Care - Staff Application Fee Form Page 5

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14.
Yes
No
Have you ever had any children (including your own, foster and adoptive children)
removed from your care by the police or a child protection worker?
If yes, please explain: ___________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
15.
Yes
No
Have you ever been investigated/questioned by representatives of the Department of Children
and Families (DCF) or any other child protection agency, concerning the care of children,
including alleged child abuse or neglect in Connecticut or any other State?
If yes, please explain: ___________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

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