Employment Form

Full Name *

Address *

City *

State

Zip Code *

Email Address

Phone Number *

Are you willing to work full-time or part-time?

Yes

No

Are you fluent in speaking English?

Yes

No

What other languages do you speak / write besides English?

Are you CPR Certified?

Yes

No

Are you trained with First Aid?

Yes

No

Certifications / Educational Background:

Have you had previous experience in a Child Care or Day Care facility?

How soon can you start?

If you have a “special skills” certificate, What is it? Check all that apply.

Others, Please specify

Tell us about yourself and explain why you believe you would be an asset to Soaring Stars Therapy & Learning Center, Inc.

Attach Resume

Choose a file

First Aid	Infection Control
CPR	Medication Administration
Training in Seizure Management	Behavior Principles and Strategies
Managing Difficult Behaviors	Others