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Address :

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Please complete your education, and date of completion. You must choose one response per category.
ECE training *	Yes Currently Enrolled No
ECE training *	Completion:
ECA training *	Yes Currently Enrolled No
ECA training *	Completion:
Montessori training *	Yes Currently Enrolled No
Montessori training *	Completion:
Other College/University *	Yes Currently Enrolled No
	Completion:
Completion of High School *	Yes No
Completion of High School *	Completion:

Please describe your experience and other qualifications below

What ages of children have you cared for?:
(please select at least one) * :

Newborn (0-3 months)
Infant (4-16 months)
Toddler (17 months to 2.5 years)
Pre-School (2.5 - 5 years)
School Age ( 6 years and up)

Please describe your experience with children*:

Please describe your experience with Children with Special Needs:

Are you interested in working at a :
(please select at least one) *

Day care centre/Nursery School
Private school
Day camp
Residential camp
Other

Are you interested in being a :
(please select at least one) *

Assistant Teacher
Camp Counsellor
Cook
Maintenance
Teacher
Supervisor
Supply Teacher
Montessori

Special Qualifications :

Lifeguard
Horseback riding
Sailing
Canoeing
Archery

References

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Name	Phone	Email

Additional Education and Training

	Have	Willing to Obtain	No	Level
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Please complete your education, and date of completion. You must choose one response per category.

Please describe your experience and other qualifications below