Employment Opportunities Form

* = Required Information

First Name *

Last Name *

Street Address *

Address Line 2 *

City *

State *

Zip *

Email Address *

Phone *

Position Desired *

Date you can start

Salary Desired

Have you ever applied for employment with us before?

Yes

I would like to work: (check all that apply)

Full Time

Part Time

Are you fluent in speaking English?

Yes

Are you 18 years of age or older?

Yes

Are you able to get up and down from the floor to interact with children?

Yes

What other languages do you speak/write besides English?

Are you CPR Certified?

Yes

Are you trained with First Aid?

Yes

Education

High School

College

Number of units in CD, ECE. ED., or SPEC. ED.

Years of experience working in a classroom

Certifications / Educational Background:

Early Childhood Education Diploma

Early Childhood Education Degree Diploma

Early Childhood Education Assistant

Vocational/Technical Training (Child Care)

CEGEP

Others please specify:

Have you had previous experience in a Child Care or Day Care facility?(Please describe in detail)

Attach Resume