<p>Staffing Chart - Complete one for each classroom. - Submit Staff/Consultant Profile Sheet for new staff members - Attach current certification Program Name Classroom Name </p><p>Name Position Certification/ Endorsement Supervisor Supervisor Certification/ </p><p>Endorsement First Aid/CPR Certified </p><p>Name Position Certification/ Endorsement Supervisor Supervisor Certification/ </p><p>Endorsement First Aid/CPR Certified </p><p>Name Position Certification/ Endorsement Supervisor Supervisor Certification/ </p><p>Endorsement First Aid/CPR Certified </p><p>Name Position Certification/ Endorsement Supervisor Supervisor Certification/ </p><p>Endorsement First Aid/CPR Certified CDS Program Approval Staffing Chart- Staff changes must be provided to CDS State IEU within 30 days. Form Updated 1.3.13</p>
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