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First Name: *
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Last Name: *
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Email Address: *
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Phone Number: *
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Paste a link to your Facebook profile here:
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Highest Education Level: *
How long have you worked in a LICENSED child care facility with ages 0-5? *
Do you have a current NCDHHS Background Check? *
Do you have a current First Aid/CPR Training Certificate? *
Do you have a current ITS/SIDS Training Certificate? *
List additional training you have received that is applicable to child development:
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Previous Employer: *
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Supervisor's Name: *
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Previous Employer Phone: *
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Previous Employer Email:
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How long did you work with your previous employer? *
Why did you leave your previous employer? *
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With proper training, are you willing and able to work in the classroom where you are needed the most - with infants, toddlers, 2-year-olds, 3-year-olds or 4-year-olds? *
Grace Child Care Center is a ministry of Grace Lutheran Church. Teachers are often asked to positively promote Christian truths as well as Grace's programs. If hired, can Grace trust you to do this? *
Why are you the right person for our child care team at Grace? *
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Do you agree that all the information you have provided is true and correct?
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