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ASUM Child Care Preschool Center Employment Application
You must take at least 7 credits to apply & must NOT work at UM jobs more than 29 hours per week.
What semester are you applying for?
Fall/year
Spring/Year
Summer/Year
What is your name?
First Name
Last Name
Student ID# (790)
How many credits are you taking?
Do you qualify for work study?
YES
NO
D you work anywhere else on campus? IF YES please state where and how many hours.
YES
NO
What is your home mailing address?
Street Address Line 1
Street Address Line 2
City
State
Zipcode
What is your local mailing address?
Street Address Line 1
Street Address Line 2
City
State
Zipcode
What is your email address?
Email Address
What is your best daytime telephone number?
Daytime Telephone Number
What your best evening telephone number?
Evening Telephone Number
Previous Employer:
Have you worked in a licensed or registered child care program for at least 2 years?
Yes
No
Are you Infant/Child/Adult CPR and First Aid Certified?
Yes
No
Are you willing to become certified within 30 days of hire?
Yes
No
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