Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
How did you hear about the program?
Are you currently in high school?
If yes, what grade? When will you graduate high school?
Are you currently employed?
If yes, what is your job? How many hours per week?
What age group are you most interested in working with? Check all that apply.
Infants (0-12 months)
Toddlers (13-36 months)
Preschool (3-5 years)
Do you have any experience working with young children? Please type yes or no in the box below. If yes, please describe.
Please check all the boxes that represent your educational history:
Currently in high school
Standard high school diploma
College (list # of credits or degree earned)
Please check all that might apply to your short and long-term career and educational goals:
Seeking a paid internship, either for summer or during the school year
Seeking a full or part time permanent entry level position in an early childhood center
Seek full time employment in an early childhood environment
Complete required minimum 45 hours of training (or waiver) for full time employment in childcare
Earn a Florida Child Care Provider Certificate
Earn an early childhood associate degree
Earn a bachelor degree
Other, please describe
When are you interested in starting an internship or employment?
I understand that this program will consist of an interview with an ELC staff member, a possible classroom visit, completion of required basic training to enter the field and background screening.
Contact Barbara Papantonakis: firstname.lastname@example.org or (941)-954-4830 x260
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