Child Day Care - Staff Application Fee Form Page 8
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In your opinion, is the applicant’s family stable and harmonious?
COMMENTS:
8
Do you know of any reason that this person should not be caring for children?
COMMENTS:
9
Does the applicant demonstrate good judgment about supervision and safety for children?
COMMENTS:
10 Does the applicant demonstrate an interest and affection for children?
COMMENTS:
11 Does the applicant have a good understanding of individual children’s developmental needs?
COMMENTS:
12 Please use this space for your personal comments and observations. If you have questions or
information you wish to discuss directly with staff of the Child Day Care Licensing Program,
please feel free to contact the Department at (860) 509-8045 or (800) 282-6063.
Signature:
Printed Name:
Date:
Street:
Telephone:
City, State, Zip:
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