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CHILD CARE TRAINING DOCUMENTATION Clear Fields ND DEPARTMENT OF HUMAN SERVICES CHILDREN AND FAMILY SERVICES SFN 343 Rev. 12-2013 TO BE COMPLETED BY THE OPERATOR ONLY Name of Operator Last Name First and Middle Initial Telephone Number Address City State ZIP Code Name of Facility License Number Expiration Date Name of Staff Member Last Name First and Middle Initial Position Please check one Director Supervisor Date Hired Caregiver Hours Hired per ...
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