ACCESS Children's Enrichment Program Application
We are excited that you are interested in joining our Enrichment Program staff! Please carefully complete this application. We will contact you within a week to discuss next steps.
Email address *
Personal Information
Name *
Your answer
Sex *
Cell Phone Number *
Your answer
Home Phone Number
Your answer
Current Address (Street, City, State, Zip) *
Your answer
Email Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
ACCESS is a Christian organization. Would you be comfortable and confident to teach with a holistic, Christian approach?
Languages Spoken *
Your answer
Personal Interests *
Your answer
Do you have any limitations that would affect your performance on this job? If yes, please describe. *
Your answer
Are you presently certified in CPR and First Aid? If so, when does your certification expire? *
Your answer
Emergency Contact (Name/Number/Relation to You) *
Your answer
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