Vacancy Update Form - North Dakota Child Care Resource & Referral

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North Dakota Child Care Provider - Vacancy Update Form

Contact Information

* required

First Name:	*
Last Name:	*
Business Name:
Street Address:	*
City:	*
State:	ND
Zip:	*
Phone:	*
Email:

Vacancy Information

Total Vacancies:

Number of Part-time Infant (0-11 months) vacancies:

Number of Full-time Infant (0-11 months) vacancies:

Number of Part-time Infant (12-23 months) vacancies:

Number of Full-time Infant (12-23 months)vacancies:

Number of Part-time 2 year old vacancies:

Number of Full-time 2 year old vacancies:

Number of Part-time 3-5 year old vacancies:

Number of Full-time 3-5 year old vacancies:

Number of Part-time Kindergarten vacancies:

Number of Full-time Kindergarten vacancies:

Number of Part-time School-age vacancies:

Number of Full-time School-age vacancies:

Comments/Questions:

Choose a CCR&R Office

I want my vacancy form data submitted to: (Please choose one.) *

Western ND (Lutheran Social Services of ND)

Eastern ND (Lakes and Prairies)

Enter Security Code Above:
*

Your record will be revised in our database within two business days.

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