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Childcare/Medical Services
The NJDOE is collecting contact information for individuals interested in volunteering their services for childcare or medical care to their local agencies if needed. This service will be compensated.
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County Name
Your answer
District Name
*
Your answer
Staff Member Name
*
Your answer
Job Title in District
Your answer
Staff Member Phone Number
*
Your answer
Are you interested in providing childcare services?
*
Yes
No
Are you interested in providing medical services?
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Yes
No
If yes, what type of medical service can you provide?
Nursing
Phlebotomy
EMT
Diagnostic Medical Technicians
X-Ray Techniciams
Other:
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