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Children Services Field Staff Application
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Child Services Field Staff Application

Thanks for your interest in working with us. There are two ways for you to apply using this form.

Part 1 If you just want to let us know you're interested and we should contact you, simply fill out the top section and click submit at the bottom of this screen.
Part 2 & 3 If you prefer to provide us with additional information about your background, experience, availability, etc, just finish filling in the additional areas. By providing this additional information we can guide your application through our process more effectively (and a little bit quicker too!)
Part 1 Contact Information
Name
Address:
City:
State:
Zip Code:
Email
Home Phone
Alt. Phone
Beeper
How did you hear about Relief Resources:
Have you ever applied/interviewed/worked at RR before?
No Yes If yes, when?
Best time and way to reach you:
Additional Comments



Part 2 Experience

What age groups do you have experience working with?
Infant Toddler Pre-school
5-12year olds Adolescents

Have any of the children you have worked with had the following special needs?
Mental Health Mental Retardation Physically Challenged
Autistic Head Injured Homeless
Other

What settings have you worked in?
Family Day Care Community Day Care Corporate Day Care
Pre-School Child or Family Shelter Family Respite
Crisis Intervention Other

How many years of experience do you have?
6mos.-1 year 1-2years 2-3years
4-5years 5-10years over 10 years

What is your educational background?
HS Diploma Undergrad Associates
BA/BS Master level PHD

What Trainings Certificates do you currently hold?
CPR/First Aid Restraint Med. Admin.
OFC Certified Lead Teacher


Other


Part 3 Preferences & Availability

Which geographic area would you like to work in?
Greater Boston North Shore South Shore
Metro West Greater Worcester Southeastern Mass
Western Massachusetts Rhode Island Connecticut
Other

What age groups are you interested in working with?
Infant Toddler Pre-school
5-12year olds Adolescents

What type of position are you looking for?
Child Care Staff Assistant Teacher Lead Teacher
Respite Provider Shelter Staff
Other

What type of hours are you looking for?
Day Evening Overnights
Weekdays Weekends

How many hours per week would you like to work?
0-10 10-20 20-30
30-40 Over 40

When would you be available to start working?
Immediately 2-4 weeks
4-6 weeks Other

What type of transportation do you utilize?
Car Public


Bicycle

Other


 
   



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62 Main Street
PO Box 129
Hatfield, MA 01038-0129
Offices in Massachusetts, Rhode Island and Connecticut
800-639-5094 413-247-3114
Fax:413-247-3837


 email:info@reliefresources.com
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