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How did you hear about us?
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Highest Level of Education/Degree Obtained:
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Are you First Aid and CPR Certified?
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How many years of childcare experience do you have?
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Are you looking for temporary or permanent work:
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Ideal number of weekly hours:
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Pay Rate Desired (Hourly):
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Please give detailed answers to the questions below:
Are you willing to do light housekeeping?
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Do you have experience with multiples?
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Are you comfortable with pets?
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Do you have a safe, reliable vehicle you are comfortable using on the job?
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Do you have children of your own you would like to bring to work?
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Will your schedule change in the next 12 to 18 months?
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Please give a summary of your experiences:
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Please list 3 references below (including name, phone number and/or email, and relationship to the reference)
Reference 1:
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Reference 2:
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Reference 3:
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