EDUCATOR APPLICATION
			EDUCATOR APPLICATION
			If you would like to become a homebased Educator, either phone one of our Teachers now on (07) 849 3049 or fill out the form below. Once our office has received your completed form, one of our Visiting Teachers will ring and make an appointment to visit you, in your home. We look forward to meeting you. Our office is open Monday - Friday; 9am - 5pm, but you can leave a message on our answer phone anytime. Name *      D.O.B *      Address *      Phone Number *      Tell us briefly about yourself and why you would like to become a homebased Educator: Please list below anyone living in your home over the age of 18: Name Age Relationship to you Occupation Please enter security text in image below:      All areas with an * asterix need to be completed to submit this form.
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	CONTACT US NOW ON Phone: (07) 849 3049 Fax: (07) 849 3749 Email: wfhc@xtra.co.nz Address: 348 Te Rapa Road Hamilton 3200
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