Personal
Name
Name
Address
Address
Phone
Phone
Are you at least 21 years of age?
Are you prevented from lawfully becoming employed in this country because of Visa or immigration status? (Proof of citizenship or immigration status will be required upon employment)
Background
Do you have a valid driver's license?
Have you had any traffic violations in the last three years?
Have you ever been convicted of a criminal offense?
(Conviction will not necessarily disqualify an applicant from employment. We are required to abide by state licensing regulations regarding the hiring of child care workers.)
S.E.L.F.
Have you read the Core Values on our website?
Scenarios
Experience
Do you have at least one year of experience working with children?
Where did you hear about us? *