Firs and Fiddleheads Preschool Staff
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Email *
Name *
Phone Number *
Are you 18 or older *
Place of Birth *
Full Address *
Emergency Contact (name, relationship, number) *
If you are a resident of Washington State, have you lived elsewhere in the last 3 years? *
If Yes, where and why? *
Describe your faith background. *
Do you attend a church? If so, what church?
Year of High School Graduation. *
College *
Date(s) attended *
Year of graduation *
Major/degree pursued *
Related Work Experience
Most Recent Employer *
Telephone *
Dates of Employment *
Job Title *
Reason for Leaving? *
Supervisor (name & number) *
Other recent employer *
Additional experience in child care or related fields:
Reference *
Name and Number *
Relationship *
Position applying for:
Clear selection
Work Availability *
Any additional things to note about availability:
Certifications currently held *
Why do you want to work with preschool age students?
What are your strengths? *
What are your weaknesses? *
I verify that the information provided on this application is true, correct, and complete. *
Name and Date *
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