Job Applicatio
n
Form:Child Care Worker
Your Contact Information
Full Name:
Address:
Phone
Email
Please check the number of hours per week you wish to Work:
Up to 10 hours per week
11 to 20 hours per week
21 to 30 hours per week
36+ hours per week
All of the above
Please check which days and times you are available to work:
Monday
Morning 7am - 12pm
Afternoon 12pm - 6pm
Evening after 6pm
Tuesday
Morning 7am - 12pm
Afternoon 12pm - 6pm
Evening after 6pm
Wednesday
Morning 7am - 12pm
Afternoon 12pm - 6pm
Evening after 6pm
Thursday
Morning 7am - 12pm
Afternoon 12pm - 6pm
Evening after 6pm
Friday
Morning 7am - 12pm
Afternoon 12pm - 6pm
Evening after 6pm
Saturday
Morning 7am - 12pm
Afternoon 12pm - 6pm
Evening after 6pm
Sunday
Morning 7am - 12pm
Afternoon 12pm - 6pm
Evening after 6pm
Employment History
Company Name:
Job Title:
Major Responsibilities:
Please check today's:
Date
MM
/
DD
/
YYYY
SUBMIT APPLICATION
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