SLC application

Seaside Littles Childcare

Childcare Provider Application
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth (must be 18yo or older)*

MonthDayYear
How did you hear about us?*
Facebook, Instagram, indeed, word of mouth (specify), website.. let us know! :-)
I have a high school diploma or GED.I have a valid drivers license & my own car.I have a current CPR certification or I will obtain it before my interview.I have no criminal history an a squeaky clean record.I am able to pass a drug test when & if one is given.I have at least 2 years of childcare related experience (does not have to be consistent, just cumulative)Other
In case you do not meet all of the requirements or if you have a question/concern about one — let us know below!
YesNo
Seasonal/TemporaryPart timeFull time
When are you available to start? Please specify your availability with days/times! *
Do you have any specialized childcare experience? Ex: experience with multiples, special needs children, newborns, large groups of kids, etc. If so, please list your specific experiences.*
Please provide insight on your 2+ years of PROFESSIONAL/PAID childcare experience. *
What cities are you willing to travel to within Hampton Roads & the Chesapeake Bay areas?*
Virginia Beach, norfolk, Chesapeake, Portsmouth, Hampton, Newport news, Suffolk, Poquoson, Cape Charles, etc,
YesNo
Please upload your resume here! Be sure that the resume you submit reflects that you meet our requirements! *

if for some reason you are unable to attach a file here, please email it to us SeasideLittlesChildcare@gmail.com
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Please upload your CPR certification here!*

if for some reason you are unable to attach a file here, please email it to us SeasideLittlesChildcare@gmail.com — If your certification is expired, we recommend taking the online course through Red Cross. Please reach out to us if you have any questions about this!
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Please give reference of any three professional references who can vouch for your CHILDCARE experience. Please do not list family members. (EMAILS are required):*

Rows	First & last name	Phone number (include area code)	Email address	Relationship with reference
Ref. 1
Ref. 2
Ref. 3

When you complete this application, please send us a message through our Facebook page so we can contact you! This is REQUIRED! Below please type “I will directly message the Seaside Littles Childcare Facebook page” If you do not message the page a interview WILL NOT be setup. *
IF for any reason you are having trouble messaging us on our Facebook page, please send us an email at SeasideLittlesChildcare@gmail.com so that we can figure out the problem & get things rolling!
Thank you for applying with us! If you meet all requirements, a member of the management will reach out to setup a interview. Interviews vary and will be conducted virtually or in person!
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Seaside Littles Childcare

Thank you for applying with us! If you meet all requirements, a member of the management will reach out to setup a interview. Interviews vary and will be conducted virtually or in person!