Provide your information

Bio

Personal Information

First Name * Last Name * City/State/ZIP * Phone * Email * Preferred Method of Contact * -Select Option-- Phone Email Position Applied For * -Select Option-- Lead Teacher Assistant Teacher Classroom Aide Administrative Staff Other Desired Start Date * Availability * -Select Option-- -Select Option-- Full Time Part Time Substitute Certifications * -Select Option-- CPR / First Aid Early Childhood Education (ECE) Child Development Associate (CDA) Food Handler's Certification

(*) Mandatory

Education

Educational Background

High School * Year of Graduation * University / College * Degree / Program * Year of Graduation * Other Training or Course Work

(*) Mandatory

Work

Work Experience

Employer Name * Position Held * Date (From) * Date (To) * Supervisor Name * Supervisor Contact * Reason for Leaving * Responsibilities *

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Childcare Experience

Describe your experience working with children * Age groups you have worked with * What strengths do you bring to a childcare environment? * How do you handle challenging behaviors? *

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Background Experience

Have you ever been convicted of a crime? * If yes, please explain * Are you legally authorized to work in this country? * Are you willing to undergo a background check? *

(*) Mandatory

Referees

Referee Information

Full Name * Relationship * Phone * Email *

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Second Referee Information

Full Name * Relationship * Phone * Email *

(*) Mandatory

Acceptance

Applicant Statement

I certify that all information provided is true and complete. I understand that false statements may result in disqualification or termination. Signature * Date *