Day School Job Application Form Fill out the form below! Personal InformationName* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Please give your last 5 years of employment to include any time as a fulltime student or unemployed*Name/City/StatePhoneFrom / ToPosition Held Example: ABC Day Care / Beaumont / TX -- 325-642-1234 -- Jan. 2016 to present -- childcare worker Sherman High School / Sherman / TX -- 903-642-1234 -- Aug. 2012 / May 2016 -- Full time student Click the (+) for additional linesUpload Resume*Accepted file types: doc, docx, pdf, txt, rtf.Date of Employment* Date Format: MM slash DD slash YYYY Date FBI Fingerprint Check Completed* Date Format: MM slash DD slash YYYY TB Test Date* Date Format: MM slash DD slash YYYY Name of High School/Home School*Did you graduate?*YesNoGraduation Date* Date Format: MM slash DD slash YYYY GED Date* Date Format: MM slash DD slash YYYY CPR Training Expiration Date Date Format: MM slash DD slash YYYY First Aid Training Expiration Date* Date Format: MM slash DD slash YYYY CPR Certification Upload*Accepted file types: doc, docx, pdf, txt, rtf.Pre-Service Training (For Caregivers)Select which applies to you*I have previous child care experience or training (DOES NOT REQUIRE 24 HRS of PRE-SERVICE) ORI do not have previous child care experience or training.Before being counted in the child/caregiver ration, I received 8 hours of pre-service training in the following areas:* Developmental stages of children Positive guidance and discipline of children Supervision and safety practices in the care of children Preventing the spread of communicable disease Age-appropriate activities for children Fostering children's self-esteem Positive interaction with children Select all that applySelect which applies to you*I will not be working with children younger than 24 months. (DOES NOT REQUIRE THE TRAINING LISTED BELOW) ORI will be working with children younger than 24 months.Before being counted in the child/caregiver ratio for a group of children younger than 24 months of age, I received one hour of pre-service training in the areas listed below* Recognizing and preventing shaken baby syndrome and abusive head trauma; Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and Understanding early childhood brain development. Attached DocumentsCopy of photo identification*Accepted file types: jpg, png, pdf.Copy of current driver's license for persons transporting children in careAccepted file types: jpg, png, pdf.Not applicable if not transporting childrenStaff Training Record (Form 7258)*Accepted file types: jpg, png, pdf, doc, docx, rtf, txt.Educational DocumentationAccepted file types: jpg, png, pdf, doc, docx, rtf, txt.SignatureApplicant Signature* First Last By typing your name, you acknowledge that you are the person represented in this form and everything you have stated in this form is true and accurate. This iframe contains the logic required to handle Ajax powered Gravity Forms.