Reporting Prior Employment for ECACE Scholarship
Please use this form only if you are applying for the ECACE Scholarship and need to report a previous employment to be added to the Employment Verification Form in the Gateways Registry.  Only one previous employment record (in an eligible role) is needed.  Provide the most recent applicable information.  Please allow 2 business days for your previous employment to be entered.  You will receive an email when it has been entered and you can then run the Employment Verification Form again.
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What email address can we reach you at if we have questions? *
What is your Gateways Registry ID?  (Note: It starts with an "N" and is followed by several numbers.) *
Enter the name of the site where you were previously employed: *
Enter the full street address, city, state, and zip code of the site: *
Which option best describes the site? *
What was your job title? *
Please select the role that best fits with the job you had: *
What was your starting date of employment? *
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What was your end date of employment? *
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What age(s) of children did you serve while in this position? *
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