Staff Application | Gan Kochavim | Jewish Daycare and Preschool | New Jersey

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Gan Kochavim, Jewish Preschool in New Jersey, Jewish daycare in Passaic

passaiccliftonplaygroup@gmail.com

973 - 471 - PLAY (7529)

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SAFETY FIRST: We're taking extra measures to ensure your children are safe in our school. More details

Preschool Staff Application

Applicants may be tested for illegal drugs

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Personal Information

*First name

Middle Name

*Last name

*Social Security Number

*Phone Number

*Email

*Applicant's Home Address

*Applicant's State/Region

*Applicant's City

*Applicant's Country

*Applicant's Zip/Postal Code

*Are you at least 18 years of age?

Yes

No

If you are under 18, please list your age:

*What is your primary language?

What other languages (if any) do you speak?

Please list any talents you have (such as playing a musical instrument, etc):

*Please attach a recent photo of yourself:

*Please attach your professional resume:

Emergency Contact Information

*1st Emergency Contact: First & Last Name

*1st Emergency Contact: Relationship to Applicant

*1st Emergency Contact: Email

*1st Emergency Contact: Phone Number

*2nd Emergency Contact: First & Last Name

*2nd Emergency Contact: Relationship to Applicant

*2nd Emergency Contact: Email

*2nd Emergency Contact: Phone Number

References

*1st Reference: First & Last Name

*1st Reference: Relationship to Applicant

*1st Reference: Email

*1st Reference: Phone Number

*2nd Reference: First & Last Name

*2nd Reference: Relationship to Applicant

*2nd Reference: Email

*2nd Reference: Phone Number

Applicant School & Education

HIGH SCHOOL

*Did you complete high school?

Yes

No

Still in high school

High School Name:

Years completed of High School:

High School- Type of Degree:

High School Full Address

COLLEGE

*Did you complete college?

Yes

No

Still in college

College Name:

College- Type of Degree:

Years completed of college:

College Full Address

BUSINESS OR TRADE SCHOOL

*Did you complete business or trade school?

Yes

No

Still in business/trade school

Business/Trade School Name:

Business/Trade School- Type of Degree:

Years completed of business/trade school:

Business/Trade School Full Address

PROFESSIONAL SCHOOL/UNIVERSITY

*Did you complete any other professional school?

Yes

No

Still in professional school

Professional School Name:

Professional School- Type of Degree:

Years completed of professional school:

Professional School Full Address

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Contact Us

973-471-PLAY (7529)

passaiccliftonplaygroup@gmail.com

Address

Ahavas Israel: 181 Van Houten Ave. Passaic, New Jersey 07055

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