Child Care Workers Registration Form Page 4

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Child Care Workers Registration Form Printable pdf

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Name and Address

Date from

Date to

Job title

Do you have any criminal convictions? : Yes/No

Do you have any dietary restrictions/preferences? :

Do you have any allergies? :

Do you smoke? : Yes/No

Are you registered disabled? : Yes/No

Ideal Position – Please provide details about your ideal position. Describe the type

of work you are

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