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Prospective Educator Questionnaire
Please answer the following questions as thoroughly as possible to determine if you may be eligible to become a licensed Family Child Care (FCC) educator that we may refer clients to.
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* Indicates required question
Email
*
Your email
Name
*
What is your first and last name?
Your answer
Email
*
Your answer
Address (Must be in Brockton, Taunton, New Bedford, Hyannis, or surrounding towns)
*
Your answer
Phone number
*
Your answer
Languages (Check all that apply)
*
Spanish
Portuguese
Cape Verdean Creole
English
Chinese
French
Arabic
Other:
Required
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