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Teaching Questionnaire
For Certified Teachers
Complete this for if you are applying for an in-home teaching position
Leave this field blank
Your Info
Your Experience
Requirements
First Name
Last Name
Cell Ph. No.
Email
Which position are you interested in?
List the job code:
City You Currently Reside
Years of Experience
What is the highest level of education you have completed?
How many children will you work with at one time?
If hired, how long can you commit to the position?
Do you drive your own insured vehicle?
Yes
No
What time can you start and end work?
Are you currently working?
Yes
No
Where do you currently work?
How many teaching references do you have?
How many child care related references to you have?
What ages have you worked with?
Do you need to update your CPR/1st Aid certification or is it current?
It's Current
Need To Update
Don't Have One
Do you have any other certifications or degrees? If so, which ones?
What languages do you speak other than English?
None
Spanish
Chinese
Portugal
Other
Are you pet Friendly?
Yes
No
Are you allergic to cats or cat hair?
Yes
No
Will you work in homes where there is a dog or cat?
Yes
No
Continue
Child Care Related References
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