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ABOUT US

Applicant Information

Full Legal Name*

Preferred Name

Current Address*

Email*

Phone*

Are you at least 18 years old?*

Are you legally authorized to work in the U.S.?*

Position & Availability

Position Applying For*

Director

Assistant Director

Lead Teacher

Assistant Teacher / Aide

Floater

Cook

Desired Start Date

Month

Day

Year

Preferred Schedule*

Full-time

Part-time

Flexible

days Available

Monday

Tuesday

Wednesday

Thursday

Friday

Education & Experience

Highest Level of Education

Do you have any Early Childhood Education Credits?

Yes

No

If yes, how many credit hours?

CDA or Gateways Credential?

Yes

No

In Progress

Years of Childcare or Teaching Experience

Describe your experience working with children

Certifications & Uploads

CPR / First Aide Certified?

Yes

No

Mandated Reporter training Completed?

Yes

No

In Progress

CV / Resume*

Certifications

Link to CV/LinkedIn

Work History

Most Recent Employer #1

Job Title

Dates of Employment

Supervisor Name & Contact

Reason for Leaving

Most Recent Employer #2

Job Title

Dates of Employment

Supervisor Name & Contact

Reason for Leaving

Most Recent Employer #3

Job Title

Dates of Employment

Supervisor Name & Contact

Reason for Leaving

References

Reference #1*

Reference #2*

Reference #3*

Background & Acknowledgement

Are you willing to complete required fingerprinting and background checks for childcare employment?*

Yes

No

Have you ever been convicted of a felony or misdemeanor (excluding minor traffic violations)?

Yes

No

If Yes, Please Explain

Signature

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Date picker

Required Acknowledgment:

I certify that the information provided is true and understand employment is contingent upon background checks, references, and required training.

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