Child Care Need Survey
Hoosick Falls Central School District will begin a Child Care Program for students in kindergarten through 6th grade beginning Monday, March 23. Please complete the survey below to indicate the need for child care if you or your spouse/partner are a health care worker, first responder or work in another one of the critical professions or occupations listed below:
Please indicate whether you or your spouse / partner are currently employed and / or volunteer as one of the following: *
Required
Name of parent / guardian *
Your answer
Phone number / Contact number *
Your answer
Home District *
If childcare was provided from 7:00 AM to 6:00 PM, how many children do you have that you would need this service? *
Timeframe *
Ages of the children needing Child Care: *
Your answer
Please indicate the age of any of your children needing this service who currently have an Individualized Education Plan (IEP): *
Your answer
Please indicate the age of any of your children needing this service who currently have a 504 accommodation plan: (if none, type in 0) *
Your answer
Please indicate the age of any of your children needing this service who are currently identified as an English Language Learner: (if none, type in 0) *
Your answer
How often would you need this service? *
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