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Fill out this application if you are seeking employment:
Name
Address
Email
Phone Number
Type of employment you are seeking (select all that apply):
Part-Time (less than 30 hours per week)
Full-Time (40 hours per week)
Lead Teacher, Manager, Site Coordinator
Internship
All of the above
Please tell us about yourself:
When would you like to start a new job?
Have you worked in a childcare home before? If yes, please explain.
Have you worked in a childcare center or ministry before? If yes, please explain:
How many jobs have you had in the last 3 years?
If you are CURRENT (within the last year) please check the following certifications you have:
CPR
FIRST AID
TB screening
Physical form- Release to work in childcare
What is your desired hourly compensation?
$7.50-$8.50
$8.50-$9.50
$9.50-$10.50
$10.50-$11.50
$11.50 +
Where do you see yourself in 5 years?
Are you a high school graduate?
Yes
No
I have my GED
If yes, what year did you graduate?
Thanks so much for your interest in childcare employment. This application will be forwarded to all the members of the Association. If anyone wants to schedule an interview, you will be contacted by them directly.



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