Childcare Assistant Interest Form
Please complete this application fully. Once complete, we will review. If we would like to proceed, you will receive an email with an interview request.
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Email *
Name *
First and last name
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
City, State, Zipcode *
Phone number *
Please indicate all languages you are able to read, write and speak fluently *
Are you a Getting Ahead graduate? *
Which position(s) are you most interested in? *
Required
What days are you available? *
Required
Do you have any certifications? *
If yes, what certifications do you have?
What age group do you prefer to work with? (check all that apply) *
Required
Are you willing to provide a background check? *
Please list any skills or reasons why you believe you would be an asset for this position. *
Are there any other details we should know about your childcare experience? *
Please read the Parent Information Letter and select the appropriate box belox. Please click here HERE to view.  *
Please read the Childcare Responsibilities form and select the appropriate box belox. Please click here HERE to view.  *
A copy of your responses will be emailed to the address you provided.
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