TH First Responder & Healthcare Worker Childcare Survey
The District is gathering information to ascertain if we have first responders or healthcare workers in our community who need assistance with childcare.
Please fill out the below questionnaire if you believe you meet these criteria.
* Required
Email address
*
Your email
My family requires childcare services, as I (we) am employed as a first responder(s) or healthcare worker(s):
*
Yes
No
Maybe
Parent Name
*
Your answer
Employer Name
*
Your answer
Role/title in the organization
*
Your answer
Number of Children
1
2
3
4
5
6
7
8
9
10
Clear selection
Child(ren) Age(s)
*
Your answer
Are Both Parents in the Family Are First Responders or Health Care Professionals
*
Yes
No
Next
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