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Early Childhood Education Application
1.
Fill us in on the basics!
Name
Birthdate
Address
Phone Number
Email
Facebook profile name
2.
Please list the schools you have attended
High School
Grade completed in high school
College
Years completed
3.
Tell us about your work experience
Place of employment and length of time there
Place of employment and length of time there
Place of employment and length of time there
Place of employment and length of time there
4.
Do you have any experience with Early Childhood Education skills?
Yes, I've worked in the industry
Yes, all the time at home
Have done a little, but nothing professional
I have no idea what I'm doing, but interests me!
Other (please specify)
5.
What would be your first choice of a job?
6.
What would be your second choice of a job?
7.
What would be your third choice of a job?
8.
Are you ready to work in the Early Childhood Education field once you complete these classes?
Yes, absolutely
Yes, if I can find childcare
Not really sure I want a job at this point
I'm just doing this for fun and don't plan on doing anything permanent with the training
Other (please specify)
9.
This class will be held on Monday's from 6:30pm-8:30pm. Does this work for your schedule?
Yes
No
10.
Are you willing to make these classes and opportunities a priority and attend all twelve weeks? Six weeks will be in the classroom and then the next six weeks you will run our childcare like a daycare.
Yes, I'm all in
Not sure I can commit
I have a job that may interfere
Other (please specify)
11.
Part of the JOBS programming involves working with a mentor and working with the Financial Empowerment Center on budgeting your finances. Are you good with these things?
Love the idea of both, can't wait!
A mentor sounds great, but I don't want to work on my money
Not sure I want a mentor
I don't really want a mentor or to work on my finances
12.
If you have a child/children please list their names and ages.
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
13.
Will you need help with childcare to take this class?
Yes
No
14.
Did an agency or organization refer you? If yes, list who. If no, list how you heard about JOBS.
15.
Do you have a Driver's License?
Yes
No
16.
Do you have a vehicle?
Yes
No
Current Progress,
0 of 16 answered
