Family Home Provider/Assistant Resume - Spanish
|Child Care Licensee or Assistant Resume |
| Licensee Assistant |Last name First name |10 digit telephone number |
|If you are an assistant, give the licensee’s name | | |
|Name |10 digit telephone number |Are you 18 years of age or older? |
| | |Yes |
| | |No |
|Address | |
| | |
|Employment history: Start with your most recent position, attach additional sheets if needed. |
|Present or last employer 10 digit telephone number |From (month/year) |
| | |
|Address |To (month/year) |
| | |
|Describe the type of work you did. |Total time employed |
| | |
| |Hours per week |
|Present or last employer 10 digit telephone number |From (month/year) |
| | |
|Address |To (month/year) |
| | |
|Describe the type of work you did. |Total time employed |
| | |
| |Hours per week |
|Present or last employer 10 digit telephone number |From (month/year) |
| | |
|Address |To (month/year) |
| | |
|Describe the type of work you did. |Total time employed |
| | |
| |Hours per week |
|Present or last employer 10 digit telephone number |From (month/year) |
| | |
|Address |To (month/year) |
| | |
|Describe the type of work you did. |Total time employed |
| | |
| |Hours per week |
| |
|Have you worked with children in the past for pay or as a volunteer? Yes No |
|If yes, describe any experiences you feel were valuable. Include any other volunteer work you have done. |
| |
|Training |
|Have you had any training that will be helpful? Check any of the following areas you have been trained in and, when required, provide dates. |
| |
|First Aid Nutrition Business skills |
|Date |
|CPR Nursing Working with special needs children |
|Date |
|Psychology Counseling Teaching |
|Date Grades |
|Early childhood development Other (specify): |
|Details: |
| |
|Special Skills |
|Do you have special skills that will be helpful? |
| |
|Music Dance Drama Behavior management |
|Story telling Art Puppetry Other (specify): |
|Details: |
| |
|Education |
|Are you a high school graduate or do you have a General Education Development (GED)? Yes No |
|If no, check the highest grade you completed: |
|1 2 3 4 5 6 7 8 9 10 11 12 |
|Education after high school: |
|School name |Dates attended |Graduated? |Year of degree|Major |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| |
|Signature: |Date: |
| | |
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