Independent Contractor Application
Please complete this application to be considered for any of our jobs or volunteer opportunities.
Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Total number of years experience in childcare:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I meet the following requirements (check all that apply):
Passion for working with childcare & education
Professional Outlook
References
No criminal record
Reliable & prompt
Able to commit to job timeline
Safe & ensured vehicle
Non-smoker
Can legally work in the U.S.
Current CPR/FA certification
Are you 18 years of age or older?
*
Yes
No
Are you authorized to work In The United States?
*
Yes
No
Do You Own A Car?
*
Yes
No
Do You Have A Drivers License?
*
Yes
No
Areas you are comfortable commuting to:
*
Distance Willing To Travel?
*
Please Select
Over 30 Mile Radius
Below 30 Mile Radius
Public Transit Only
Back
Next
Employment Desired:
How soon can you start?
Position Interested In (check all that apply):
*
Afterschool Enrichment Instructor
Partnership Developer
Summer Camp Instructor
Admin Assistant
Marketing (Social Media, Email, Etc)
Volunteer
Unpaid Intern (receive school credits)
If applying for a position to work with children, what age group do you prefer working with?
*
Ages 5-9
Ages 10-13
Ages 14-18
All of the above
Experienced With:
Multiples
Special Needs
Allergies
Skills/Qualifications:
What skills and experience do you have that are useful for the position(s) applying for?
Important Note: This is much more than a job to us. We are looking for individuals that are qualified, passionate and understand the significance of being welcomed into a family to nurture children.
List three words that describe your personality:
CPR/First Aid Certified?
Please Select
Yes
No
Willing to Get Certified
CPR/First Aid Expiration Date
-
Month
-
Day
Year
Name of CPR/FA instructor:
Phone number for CPR/FA instructor:
Include links to your social media profiles (Instagram, Facebook, LinkedIn), so we can get to know you better:
Back
Next
Education:
Highest Level of Education:
*
Please Select
High School
College
Graduate School
High School
Name of High School Attended
Graduated High School?
Please Select
Yes
No
College
Name of College/University Attended
Graduated College?
Please Select
Yes
No
Number of Years Attended College
College Area of Study/Degree
List of other professional training:
i.e. Trainings, conference workshops, etc.
Back
Next
Most Recent Emploment History
Current/Most Recent Employer Name
*
i.e. Name of Family
Position
*
Your job title
Current Employer Salary
Current Employer Start Date
-
Month
-
Day
Year
Date Picker Icon
Location
*
i.e. Neighborhood
Job Duties
*
Please include an in-depth job description
May We Contact Your Current/Most Recent Employer?
*
Yes
No
Please explain why we may not contact your current employer:
Previous Employment
Previous Employer
i.e. Name of Family
Position
Your job title
Previous Employer Salary
Previous Employer Start Date
-
Month
-
Day
Year
Date Picker Icon
Previous Employer End Date
-
Month
-
Day
Year
Date Picker Icon
Previous Employer Location
i.e. Neighborhood
Previous Position
Previous Employer Duties
Please include an in-depth job description
Previous Employer Reason for Leaving?
Previous Employer May We Contact?
Yes
No
Please explain why we may not contact your previous employer:
Back
Next
References:
Please include 2 references
May we contact your references?
Yes
No
Reference One Name
Name of Reference
Reference One Relationship
Reference One Years Acquainted
Reference One Phone
Reference One Email
example@example.com
Reference Two Name
Reference Two Relationship
Reference Two Years Acquainted
Reference Two Phone
Reference Two Email
example@example.com
Back
Next
Resume
Please Upload Your Cover Letter
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Please Upload Your Resume
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Acknowledgement
I have uploaded my resume. Without a resume, I understand that my application may not be considered.
Submit
Should be Empty: