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Childcare Personal Info and References

  • Thanks for being willing to serve as a caregiver!

    Before you begin, it may be helpful to collect some information for those you will be listing as references. You will be asked for the name, email address and phone number of your parents, pastor, youth pastor (If available) employer (If available) and a friend.

  • MM slash DD slash YYYY
  • Max. file size: 2 GB.
  • Reference Form: Parents

  • Important: make sure email is correct. Reference form is automatically sent to this address.
  • Reference Form: Pastor

  • Important: make sure email is correct. Reference form is automatically sent to this address.
  • Reference Form: Youth Pastor

  • Important: make sure email is correct. Reference form is automatically sent to this address.
  • Reference Form: Employer

  • Important: make sure email is correct. Reference form is automatically sent to this address.
  • Reference Form: Friend

  • NOTES:

    1. Only click "Submit Form" once. Submission may take a few minutes depending on the file size of your profile picture.

    2. When you click "Submit Form", a reference form will automatically be emailed to the references you listed above. Please ensure that the email addresses you provided are correct and current.

    3. After clicking "Submit Form", you will be directed to 
    Step 2: Childcare Application.

    If you have questions or technical difficulties, feel free to call Jesse Slabaugh at

    717-715-2030.

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Contact us

93-28 Corona Ave.
Elmhurst, NY 11373
[email protected]
717-715-2030

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