Teacher Assistant Application Form

Teacher Assistant Application Form
Please complete the form below to apply for a position with us.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Have you ever been convicted of child abuse*

YesNo
Upload Resume (Include Job History over the last 10 years and Education)*

Cancelof
Employment and Volunteer History with children: Include ages of children, your duties, and dates.*
May we contact previous employers?*
Please list 3 professional or personal references (not related to you). Include Name, Email, and Phone number.*
Why are you interested in applying for this position?*
What are your best qualities?
Do you have any special talents or qualifications?
Did someone refer you to us? Who?
Have you had CPR and First Aid training within the past 2 years?*
No one who has evidence of abusing/neglecting/depriving children or adults or has intentionally or through gross negligent misconduct subjected any person to serious injury can work at STEER LLC.

No one who smokes or uses tobacoo products can do so in child care areas in the STEER area or on the playground.

No one under the influence of controlled substances can be in the STEER area nor responsible for children.

I certify that all information on this application is correct. I have not given any false statements concerning my qualification requirements. I have read and agree with the above statements. I am capable of performing this job.
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