Allandale Farm Outdoor Summer Program Teacher Application
Basic Application Information
Email address *
Last Name *
Your answer
First Name *
Your answer
Phone Number *
Your answer
Alternate Number (Please indicate "Home" or "Work")
Your answer
Address *
Your answer
Date of Birth ( To ensure adherence to Massachusetts Department of Health Summer Program/Camp Age Requirements) *
MM
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DD
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YYYY
Highest Level/Degree of Education *
Your answer
Do you have a preferred age group with which you would like to work? *We may need to assign based on need.
Are you CPR certified? *
CPR age group(s) and expiration date
Your answer
Are you First Aid certified? *
First Aid age group(s) and expiration date
Your answer
Earliest summer date you are available *
MM
/
DD
/
YYYY
Latest summer date you are available *
MM
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DD
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YYYY
Please share your reasons/thoughts regarding applying to join the Outdoor Summer Program team *
Your answer
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