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First Name:
*
A first name is required.
Last Name:
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A last name is required.
Address:
*
An address is required.
Major Intersection:
*
A major intersection is required.
City:
*
A city is required.
Province:
*
Please select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Other
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Country:
Postal code:
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A value is required.
Other cities you are willing to travel to:
1
2
Daytime Phone Number:
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A home phone number is required.
Evening Phone Number:
Mobile Phone Number:
Preferred method of being
contacted:
Please select
Daytime Phone
Evening Phone
Mobile Phone
Email
Either
Email:
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An email address is required.
PLEASE DESCRIBE YOUR EDUCATION BELOW
ECE Obtained:
Yes
No
Year Graduated
Month Graduated
ECE - currently enrolled:
Yes
No
Year Graduated
Month Graduated
ECA Obtained:
Yes
No
Year Graduated
Month Graduated
ECA - currently enrolled:
Yes
No
Year Graduated
Month Graduated
Montessori Diploma Obtained:
Yes
No
Year Graduated
Month Graduated
Montessori Program - currently enrolled:
Yes
No
Year Graduated
Month Graduated
Other University Program Obtained:
Yes
No
Program Name
Year Graduated
Month Graduated
Other University Program - currently enrolled:
Yes
No
Program Name
Year Graduated
Month Graduated
Completion of High School:
Yes
No
Year Graduated
Month Graduated
Some High School:
Yes
No
None:
Yes
Please describe your experience and other qualifications below
What ages of children have you cared for?
*
Newborn (0-3 months)
Infant (4-16 months)
Toddler (17 months to 2.5 years)
Pre-School (2.5 - 5 years)
School Age ( 6 years and up)
Please select at least one option.
How many years experience do you have caring for children:
(please do not include parenting experience)
Please describe your experience with special needs children:
What type of drivers licence?
*
Please select
G
G2
G1
NONE
Please select a type of drivers license.
References:
Name
Phone
Email
Will provide references upon request:
Yes
What is your preferred employment
status ? (Check all that apply to you)
Full-Time
Part-Time
Casual
Are you interested in being a:
(Check all positions that apply to you)
Teacher
Assistant Teacher
Supply Teacher
Supervisor
Cook
Maintenance
Manager/Director
Special Qualifications:
First Aid training:
*
Please select
Yes
No
Willing to obtain
Please select one of the options.
CPR training:
*
Please select
Yes
No
Willing to obtain
Please select one of the options.
Police Check:
*
Please select
Yes
No
Willing to obtain
Please select one of the options.
How did you hear about us?
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Please select
Newspaper
Working.com (online)
Childcare Advantage (online)
Online Search Engine (online)
Other Employment Website
123 Busy Beavers Centre/Sign
College/University
Email
Trade Show/Job Fair
Word of Mouth
Search Engine
Please select one of the options.
Attach your CV :
I certify that all the information given on this form is true and correct. I understand that making a false statement may be considered as grounds for dismissal.
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