If you are a returning teacher, please contact us directly at TeacherCare@TeacherCare.com Teacher Application this is example description. First Name* Last Name* Email* Phone* Cell Address City* State* Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip Code* Have you registered with us in the past?If you are a returning teacher, please contact us directly at TeacherCare@TeacherCare.com No Yes In what geographical areas would you like to work?* Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Select all / None In what city, suburb or county? Near what zip code would you like to work?* I am interested in the following employment options: Full-time: 30 + hours per week Part-time: 20 - 29 hours per week Tutoring Permanent: 1 year or more Temporary: Less than 1 year Select all / None How soon could you start employment?* With what age groups do you have experience?* Infant Toddler Preschool K-5th grader 6th - 12th grade Select all / None Education Highest level of education completed:* PhD PhD candidate Master's degree Master's degree candidate Bachelor's degree Bachelor's degree candidate Associate degree Associate degree candidate Certification or training High school Graduate school Graduate school Degree College College Degree Vocational/Specialized Training Child-related Employment Employer name* From To Nature of work Camp counselor Child advocate Child psychology Child-related volunteer Coach Daycare teacher Early intervention specialist Elementary school teacher High school teacher Long-term babysitter Montessori teacher Nanny Nursery school teacher Parent educator Preschool teacher Professor Recreation specialist Short-term babysitter Social worker Special education teacher Student intern/teacher Sunday school teacher Teacher assistant Tutor Teacher -other (specify below) Other (specify below) If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Child-related Employer 2 Employer name From To Nature of work Camp counselor Child advocate Child psychology Child-related volunteer Coach Daycare teacher Early intervention specialist Elementary school teacher High school teacher Long-term babysitter Montessori teacher Nanny Nursery school teacher Parent educator Preschool teacher Professor Recreation specialist Short-term babysitter Social worker Special education teacher Student intern/teacher Sunday school teacher Teacher assistant Tutor Teacher -other (specify below) Other (specify below) If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Child-related Employer 3 Employer name From To Nature of work Camp counselor Child advocate Child psychology Child-related volunteer Coach Daycare teacher Early intervention specialist Elementary school teacher High school teacher Long-term babysitter Montessori teacher Nanny Nursery school teacher Parent educator Preschool teacher Professor Recreation specialist Short-term babysitter Social worker Special education teacher Student intern/teacher Sunday school teacher Teacher assistant Tutor Teacher -other (specify below) Other (specify below) If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Child-related Experience Do you have additional volunteer, extra-curricular, or informal child-related experiences, (not listed above)? How Many ? 0 1 2 3 4 5 Child-related Experience-1 Employer name From To Nature of work Camp counselor Child advocate Child psychology Child-related volunteer Coach Daycare teacher Early intervention specialist Elementary school teacher High school teacher Long-term babysitter Montessori teacher Nanny Nursery school teacher Parent educator Preschool teacher Professor Recreation specialist Short-term babysitter Social worker Special education teacher Student intern/teacher Sunday school teacher Teacher assistant Tutor Teacher -other (specify below) Other (specify below) If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Child-related Experience-2 Employer name From To Nature of work Camp counselor Child advocate Child psychology Child-related volunteer Coach Daycare teacher Early intervention specialist Elementary school teacher High school teacher Long-term babysitter Montessori teacher Nanny Nursery school teacher Parent educator Preschool teacher Professor Recreation specialist Short-term babysitter Social worker Special education teacher Student intern/teacher Sunday school teacher Teacher assistant Tutor Teacher -other (specify below) Other (specify below) If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Child-related Experience-3 Employer name From To Nature of work Camp counselor Child advocate Child psychology Child-related volunteer Coach Daycare teacher Early intervention specialist Elementary school teacher High school teacher Long-term babysitter Montessori teacher Nanny Nursery school teacher Parent educator Preschool teacher Professor Recreation specialist Short-term babysitter Social worker Special education teacher Student intern/teacher Sunday school teacher Teacher assistant Tutor Teacher -other (specify below) Other (specify below) If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Child-related Experience-4 Employer name From To Nature of work Camp counselor Child advocate Child psychology Child-related volunteer Coach Daycare teacher Early intervention specialist Elementary school teacher High school teacher Long-term babysitter Montessori teacher Nanny Nursery school teacher Parent educator Preschool teacher Professor Recreation specialist Short-term babysitter Social worker Special education teacher Student intern/teacher Sunday school teacher Teacher assistant Tutor Teacher -other (specify below) Other (specify below) If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Child-related Experience-5 Employer name From To Nature of work Camp counselor Child advocate Child psychology Child-related volunteer Coach Daycare teacher Early intervention specialist Elementary school teacher High school teacher Long-term babysitter Montessori teacher Nanny Nursery school teacher Parent educator Preschool teacher Professor Recreation specialist Short-term babysitter Social worker Special education teacher Student intern/teacher Sunday school teacher Teacher assistant Tutor Teacher -other (specify below) Other (specify below) If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Other Employment How many employers would you like to mention? 0 1 2 3 4 5 Employer 1 Employer name From To Nature of work If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Employer 2 Employer name From To Nature of work If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Employer 3 Employer name From To Nature of work If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Employer 4 Employer name From To Nature of work If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Employer 5 Employer name From To Nature of work If other, please specify Job Description Supervisor(Name/Number/Email) Reason for leaving Other experience not listed? Language(s) I am fluent in English Spanish French German Select all / None Other languages? I have experience working with: Typically-developing children Gifted children Physically-challenged children Emotionally-challenged children Select all / None Job Description I will provide (Select all that apply): Developmental requirements A nurturing and supportive environment with my children Playful and engaging personalized activities Stories, rhymes, drama and other language and literature activities Art and crafts, puppetry and other creative activities Singing, dancing and other music and movement activities Nature walks, backyard science and other outdoor play Sports and other physical activities Cooking and other hands-on activities to teach confidence and responsibility Playgroups, field trips and other social activities Educational play/games Routines based on the goals and values of the family Daily reports Preplanned weekly schedules Developmental conferences Select all / None Custodial requirements Bottle or meal planning, preparation and clean-up Play area maintenance Clean up after activities or playtime Driving for children A car that would accommodate my children Child-related errands or appointments Children's laundry Select all / None Health n Safety CPR* I am certified in CPR I have taken CPR I will immediately take CPR I don't have CPR training First Aid I am certified in First Aid I have taken First Aid I will immediately take First Aid I don't have First Aid training Other safety-related training Do you swim? Yes No Do you have any physical or emotional challenges that might have a bearing on this position?* Yes No If yes, please explain Do you smoke?* Yes No Do you have pet allergies? Cat Dog Select all / None Miscellaneous How many children would you enjoy working with? 1 2 3 4 I would enjoy traveling with a family.* Yes No Do you drive?* Yes No Make / model of car? I can work legally in the US.* Yes No Have you ever been convicted of a crime?* Yes No I am willing to relocate.* Yes No I am open to a live-in position.* Yes No If yes, please explain What are your future plans? My minimum salary requirement is: $1200 - $1500 per week $1501 - $2000 per week $2001 - $3000 per week $3000+ per week Describe the goals/values you instill in children under your care. Indicate HOW you instill these qualities. Why do you want to be a Teacher-Caregiver? How did you hear about us?* Google Website Social Media Magazine / Newspaper Referral Other This field is required.
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