Placement Readiness Assessment

Profile Pic

Please upload a profile picture.

First Name *

Please provide your first name.

Last Name *

Please provide your last name.

Date of Birth *

Email *

Please provide your email address.

Phone *

Please provide your phone number.

Job Position *

What type of position are you in search of?

Current Location *

Current College or University *

Do you have access to reliable transportation? *

How many years of experience do you have working with children? *

Which age groups are you most comfortable working with? *

Newborn (0 Months - 6 Months) Toddler (6 Months - 3 Years) Preschoolers (3 Years - 5 Years) Early Elementary (5 Years - 7 Years) Middle Elementary (7 Years - 9 Years) Tweens (9 Years - 12 Years) Teens (13 - 15 Years)

Preferred Schedule *

Please detail your availability

Any additional information to note about your availability?

References *

Add your work references below. Click + to add more entries.

Reference #1

Reference full name

Full address

Reference phone

Reference email

Years known

Under what circumstances do you know this individual?

Are you fluent in any languages other than English? If so, please specify. *

If so, please specify

Do you have experience caring for children with special needs or developmental disabilities? *

To uphold the highest standards of care, the use of impairing substances is strictly prohibited when interacting with families seeking care through our platform. Can you meet this requirement? *

Are you comfortable working in a home with pets? *

Kindly provide your resume for review. *

How did you hear about our marketplace? *

By checking this checkbox and selecting "Submit" you acknowledge receipt of, review of, and agreement to the Terms and Conditions of Use. By accessing and using the platform, you acknowledge and agree that any engagements, bookings, or services facilitated through the platform are initiated at your own discretion, while adhering to the policies and expectations set forth within these Terms and Conditions. *