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Barstow School Extended Care Application
Please fill out this form completely and accurately to apply for a position within the Extended Care program at The Barstow School
Full Name (First, Middle, Last) *
Your answer
Date of Birth *
MM
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DD
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YYYY
Phone Number *
Your answer
E-mail Address *
Your answer
School Currently Attending *
Your answer
Are you willing to undergo a background screening? *
In a short paragraph, please describe your experiences working with students/children. *
Your answer
In a short paragraph, please describe why you would be a good addition to our team. *
Your answer
Which days are you available to work AM shifts? (AM Shift = 7:00-8:00 AM) *
Required
Which days are you available to work PM shifts? (PM Shift = 2:45 - 6:00 PM) **We do allow for staff to arrive late up until 3:45 PM** *
Required
Please provide us with a previous employer as a reference for us to contact. (First name, last name, title/place of employment, phone number) *
Your answer
Please provide an additional (non-family member) reference. (First name, last name, relationship to you, phone number) *
Your answer
Please check the box below to acknowledge that you will need to send a resume to the Extended Care Director, Max Williams, via e-mail to complete your application. (max.williams@barstowschool.org) *
Required
Please type your name and date below to confirm submission of this application. You will be contacted within 24 hours about an interview. *
Your answer
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