Register Teacher

First Name*

Last Name*

Email*

Phone*

Cell

Address

City*

State*

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?*

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:

Select all / None

How soon could you start employment?*

With what age groups do you have experience?*

Select all / None

Highest level of education completed:*

Graduate school

Graduate school Degree

College

College Degree

Vocational/Specialized Training

Employer name*

From

To

Nature of work

If other, please specify

Job Description

Supervisor(Name/Number/Email)

Reason for leaving

Child-related Employer 2

Employer name

From

To

Nature of work

If other, please specify

Job Description

Supervisor(Name/Number/Email)

Reason for leaving

Child-related Employer 3

Employer name

From

To

Nature of work

If other, please specify

Job Description

Supervisor(Name/Number/Email)

Reason for leaving

Do you have additional volunteer, extra-curricular, or informal child-related experiences, (not listed above)?
How Many ?

How many employers would you like to mention?

Other experience not listed?

Language(s) I am fluent in

Select all / None

Other languages?

I have experience working with:

Select all / None

I will provide (Select all that apply):

Developmental requirements

Select all / None

Custodial requirements

Select all / None

Health n Safety

CPR*

First Aid

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?

Select all / None

How many children would you enjoy working with?

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:

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?*

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Our Story

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Teacher Application

Education

Child-related Employment

Child-related Employer 2

Child-related Employer 3

Child-related Experience

Child-related Experience-1

Child-related Experience-2

Child-related Experience-3

Child-related Experience-4

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Other Employment

Employer 1

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Job Description

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