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NAME: PHONE NUMBER: EMAIL ADDRESS: AVAILABILITY: Please provide a span of hours for each day (i.e., 7-9pm) or indicate that you are not available. The hours you provide will be added to the Child-Care List for one semester. Please fill out a new form for each semester that you wish to stay on the list. SEMESTER:
MONDAY: TUESDAY: WEDNESDAY: THURSDAY: FRIDAY: SATURDAY: SUNDAY:
COMMENTS:
The information you provide on this form will be added to the Child-Care List and given to Kearney families who request it. They will contact you to fill positions if your hours match what they are looking for.