CAS is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, national origin, sex, marital status or disability. Personal Information Name * Date * Year Year202020212022 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Email * Phone * Cell Phone * Address (Line 1) * Address (Line 2) City * State * Zip Code * Position Applied For * - Select -Site DirectorAssistant Site DirectorRecreation Leader Available Days & Hours * How did you hear about Care After School? When Can You Start? Emergency Contact Information Name Relationship Address/City Phone Education Background High School Address/City College Address/City Date of Graduation Degrees Majors Other Special Training Personal Background Please describe any experience you have with school-age children such as being a camp counselor, lifeguard, coach, caregiver, volunteer, etc. Special Talents or Hobbies What do you like about school-age children? How do you gain a child's trust? What do you believe are important elements in an after-school program? What do you feel is important in dealing with parents and staff? Employment Background Name Start Date Year Year19801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 End Date Year Year19801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Salary Phone Address/City Position Duties Supervisor Reason for Leaving Employment Background Name Start Date Year Year19801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 End Date Year Year19801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Salary Phone Address/City Position Duties Supervisor Reason for Leaving Employment Background Name Start Date Year Year19801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 End Date Year Year19801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Salary Phone Address/City Position Duties Supervisor Reason for Leaving References Name Occupation Address/City Phone References Name Occupation Address/City Phone References Name Occupation Address/City Phone Have you ever been convicted of any crime or felony ? - None -NoYes Do you object to being fingerprinted? - None -NoYes Upload Resume Leave this field blank
