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Name
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Phone Number
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Pronouns
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Email
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How would you describe your gender identity?
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Do you have professional childcare experience? Its okay, if you don't!
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If yes, please describe below - This can include paid or unpaid professional experience, such as a Nanny, Au Pair, Daycare work, Summer Camp work, counselor, mentor, teacher, or experience with caring for siblings and/or the children of friends or family. Please use as much detail as you wish.
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Do you have any relevant certifications, such as CPR Training?
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Are you a dues paying member of DSA?
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Are you interested in helping to organize the childcare collective or helping out with administrative tasks?
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Other thoughts or comments
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