Date of Birth
- Full Time -
- Part Time -
*Are you a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States?
* Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony?
*If yes, please explain:
Do you have a valid driver's license?
Highest Education Level
- Select -
High School Diploma
Do you have at least two years prior experience in regulated child-care center; or documentation of at least 24 clock hours of training at another regulated child-care center?
Are you First Aid and CPR certified?
Prior Work History : List the company name and contact information for 3 most recent job positions. Start with your most recent employment.
References : List three (3) professional references and contact information. Phone Number
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