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Am currently a Certified Assistant for (capacity) For Office Use Only ID# Page 2 of 6 Licensor Code Expiration Date FCCAssistantApplication20100326 EXPERIENCE (Certified Assistants Only): Complete information for each category you wish to be considered in meeting the experience requirement. Include the total number of Months/Years and Hours Per Week you have cared for children. PLEASE NOTE: BABYSITTING EXPERIENCE DOES NOT COUNT Months/Years Hours Per Week Caring for your own childr.

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