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Bandelier
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Inez
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Home
Programs
General Information
Before and After School
Summer Camps
Site Info
Arroyo Del Oso
Bandelier
Double Eagle
Georgia O’Keeffe
Hubert Humphrey
Inez
John Baker
North Star
Osuna
Sombra Del Monte
Support Our Kids
Contact Us
Contact Us
Directory and Help
About
Meet the Team
Blog
Image Gallery
Parent Manual
Parent Manual English
Manual para padres
Hướng dẫn dành cho phụ huynh
जनक मैनुअल
Locations
Arroyo Del Oso
Bandelier
Double Eagle
Georgia O’keeffe
Hubert Humphrey
Inez
John Baker
North Star
Osuna
Sombra Del Monte
Jobs
Caregiver and Assistants
Site Directors
Bus Driver
Administrative Assistant Application
Billing
Billing
Universal Child Care
Member Login
Search
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Caregiver Application
Caregiver Application
School-Age Care Program Employment Application
How did you hear about this job/referred by:
Were you a former Children's Choice kid?
Yes
No
Are you related to a Children's Choice staff, school staff, or kid?
Yes
No
If yes, who and what location:
Are you work study qualified? (Yes or No)
Yes
No
Name
*
Name
First Name
First Name
Last Name
Last Name
Middle Initial
Email
*
Present Address (Street, City, State, Zip)
How many years have you lived at this address?
Primary Phone # (could be cell phone)
*
Other Phone #
Date of birth (only if under 18):
Emergency Contact Name (First and Last)
*
Emergency Contact Phone Number
*
What morning hours are you available to work? (Check all that apply)
Monday 7AM - 9:15AM
Tuesday 7AM - 9:15AM
Wednesday 7AM - 9:15AM
Thursday 7AM - 9:15AM
Friday 7AM - 9:15AM
What early afternoon hours are you available to work? (Check all that apply)
Monday 1:45PM - 6PM
Tuesday 1:45PM - 6PM
Wednesday 1:45PM - 6PM
Thursday 1:45PM - 6PM
Friday 1:45PM - 6PM
What later afternoon hours are you available to work? (Check all that apply)
Monday 3PM - 6PM
Tuesday 3PM - 6PM
Wednesday 3PM - 6PM
Thursday 3PM - 6PM
Friday 3PM - 6PM
Do you have any physical limitations or unusual health conditions which would affect your ability to perform duties of this position? If yes please explain:
Do you have the physical ability to lift children (50lbs) as needed or physically separate children as needed and participate in housekeeping responsibilities?
Yes
No
If you are human, leave this field blank.
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