Interest Form - Become an Early Learning Substitute Educator (ELSE) for Smart Start Child Care

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In an effort to assist child care programs with substitute needs, Monroe Smart Start has launched Smart Start Child Care. If you are interested in working with children in a child care setting (ages 6 weeks-age 5) or want to learn more about this opportunity, complete the following questions.

Email *

Full Name: *

Mailing Address:

County of Residence *

Phone Number: *

Are you at least 18 years old? *

Yes

Please enter your date of birth. *

YYYY

Which of the following age groups are you interested in working with? Check all that apply. *

Infants

Toddlers

Pre-K (ages 3-5)

Required

Have you received a criminal background check in the last three years?

The State of Indiana requires a criminal background check be conducted on all child care staff members (including prospective staff members) who are employed by child care providers. Visit the FSSA’s Background Check Requirements page for a list of disqualifying crimes.

Yes

Have you received CPR certification within the last year? *

Yes

Have you received First Aid certification within the last year? *

Yes

Have you received a physical exam within the last six months? *

Yes

Indiana law requires that individuals pass a drug screen before they can work in a child care program. Do you have any issues with this request?

Yes

Do you have dependable transportation? *

Yes

My highest education level is: *

High School or GED

Some College

Associate Degree

Bachelor's Degree

Master's Degree

Doctorate

None of the above

List weekly availability starting August 1, 2025: *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Full-time

Part-time

Required

I have a current resume and will submit upon request: *

Yes

How did you hear about Smart Start Child Care?

Have you ever been arrested for or convicted of a crime that has not been expunged by a court? If yes, please explain.

I confirm all information included on this form is accurate and valid. I give permission for my information to be shared with child care providers, I understand that the Community Foundation through its Monroe Smart Start program is collecting information that will be provided to those hiring child care substitute educators. Monroe Smart Start is not responsible for vetting or hiring child care staff. Once information is exchanged, you and potential child care program/organization will agree upon work hours and terms of employment. *

Yes

A copy of your responses will be emailed to the address you provided.

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