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First name *

Middle Initial

Last name *

Email address *

Phone number *

Address *

City, State and Zip *

Days available to work. (Check all that apply.) *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Hours available to work. (Check all that apply.) *

Early morning start: 6 am

Between 7 am and 6 pm

Stay later than 6 pm

Overnight: 10 pm - 6 am

Flexible start/end time

What type of position are you looking for? (Check all that apply.) *

Lead

Float

Substitute

Cook

Director

Assistant

Not sure/any

Childcare Licensing requires background checks. Are you able to complete one? *

Yes

No

Some of our programs are faith based. Would you like to be considered for these facilities? *

Yes

No

How many years of child care experience do you have? *

Ages of children for whom you have care experience. (Check all that apply.) *

6 weeks to 18 months (infant)

18 months to 30 months (toddler)

2.5 years to 6 years (pre-school/pre-k)

Kindergarten to 12 years

List your most recent job. *

List your 2nd most recent job. *

List your 3rd most recent job. *

References

Please provide 3 references. (2 professional and 1 personal)

1st Professional Reference *

2nd Professional Reference *

Personal Reference *

Please provide your educational background.

Anti-spam check *

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