Application for Play Specialist

Application for Play Specialist

Play adventures for preschoolers TM
Name

First Name Last Name
Date of birth

Month Day Year
Date
Phone Number

Area Code Phone Number
E-mail
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please provide your start date

Month Day Year
How many part time hours are you seeking?
What days and hours are you available?
Do you have experience with children?

Yes No
How long have you worked with children?

0-1 years 2-4 years 5+ 10+
Why do you want to work for Backpack Kids?
Education
What is your degree? major? minor?
When did you begin your first semester of college?

Month Day Year
Date
How many credits have you earned?
How many are education credits?
What are your education goals?
What are your career goals?
Work & Volunteer Experience
Job Title:
Start

Month Day Year
End

Month Day Year
Describe your experience. Include details: years, role, responsibilities, and accomplishments/acheivements.
Job Title:
Start

Month Day Year
End

Month Day Year
Describe your experience. Include the details; years, role, responsibilities, and accomplishments.
Job Title:
Start

Month Day Year
End

Month Day Year
Describe your experience. Include details; years, role, responsibilities, and accomplishments.
Personal
Do you have a criminal record

Yes No Other
If answered yes. What for?
Will you participate in a background check?

Yes No
What are your strengths?
What is one big lesson(s) you can learn from a child?
Do you have experience working with parents?

Yes No Other
If "Yes" or "Other" please explain:
Are you a parent?

Yes No
What would you like your experience to be like at backpack kids?
What environment do you work/perform best in?
What do you want to accomplish at backpack kids?
List 3 things you would do to engage a child?
What three values reflect who you are?
Should be Empty:

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Application for Play Specialist

Education