Team Member Application

Job applying for:
If applicable, please indicate the specific job/posting you are applying for
Childcare Availability:*
Please indicate the postitions you are available for
PERSONAL
Name*
FirstLast
Birthdate*
MM
DD
YYYY
Age
Phone Number*
Text*
- Yes
- No
Facebook*
- Yes
- No
Email*
Address*
Street AddressCityStateZip Code

EDUCATION
High School*
City*
State*
Years Attended
Graduation Year*
Undergraduate
City
State
Years Attended
Degree/Area of Study
If you have not earned a degree please indicate your are of study
Graduation Year
Graduate
City
State
Years Attended
Degree/Area of study
Graduation Year
CERTIFICATIONS
Title
Organization
Expiration Date
MM
DD
YYYY
Title
Organization
Date
MM
DD
YYYY

REFERENCES
Childcare I*
FirstLast
References are required as part of the application process. If you do not have any child care references you must provide at least one non-related reference such as a teacher, coach or mentor
Relationship*
Phone*
Childcare II*
FirstLast
Relationship*
Phone*
Character *
FirstLast
A character reference is someone who knows you well and can be a reference in regards to your character and personality. This reference CAN NOT be a parent or sibling
Relationship*
Phone*
I confirm that all information provided on this Team Member Application © is complete, accurate and true. I understand that if approved, I will be asked to participate in a series of interviews facilitated by TCN and prospective families. I understand that by completing this Team Member Application © it does not guarantee me for placement or employment with a family.
Please check the box to indicate that you agree with the policy*
- I agree with the above policy
Date

BACKGROUND