Job Application Form

Daycare Job Application Form
Dear Candidate,

Thank you for your interest in joining our team at Elizabeth’s Daycare and Preschool Center.

Before your interview, please ensure you bring the following documents with you:

Valid identification

Resume

Two professional references

Physical examination report

Up-to-date MMR vaccine record

PQ Registry certification

Completion of the 13 required modules

All documents must be Uploaded before the interview. . If you are missing any of the required documents, kindly inform us in advance, as the director will only proceed with interviews for candidates who have all necessary paperwork. Additionally.
Full Name*
First Last
Phone Number*
Email Address*
Home Address*
Street Address City State / Province / Region ZIP / Postal Code
Social Security or ITIN #
Upload supporting documents

All documents must be Uploaded before the interview. . If you are missing any of the required documents, kindly inform us in advance, as the director will only proceed with interviews for candidates who have all necessary paperwork. Additionally.
Valid identification
Primary Forms of Valid ID:

Driver’s License – Issued by the state and includes a photo.

Passport – A government-issued document for travel, containing a photo and personal details.

State ID Card – Similar to a driver’s license but for non-drivers.

Permanent Resident Card (Green Card) – For non-U.S. citizens residing legally in the country.

Employment Authorization Document (EAD) – Issued by USCIS for work authorization.
Drop files here or
Resume
Key Sections of a Resume:

Contact Information – Includes name, phone number, email, and optionally, a LinkedIn profile.

Professional Summary (Optional) – A brief statement highlighting key skills and career objectives.

Work Experience – Lists previous jobs, including job titles, employer names, dates of employment, and key responsibilities/accomplishments.

Education – Details degrees, certifications, and relevant coursework.

Skills – Highlights technical and soft skills relevant to the job.

Certifications & Training (if applicable) – Lists any industry-specific credentials.

References (Optional) – Names and contact information of people who can vouch for your work.
Drop files here or
Two professional references
Types of References:

Professional References – Former managers, supervisors, or colleagues who can speak about your work performance.

Academic References – Teachers, professors, or academic advisors (useful for students or recent graduates).

Personal (Character) References – Friends, mentors, or community leaders who can attest to your personal qualities (used when work experience is limited).

What Information to Include for References?

Full Name

Job Title (if applicable)

Company/Organization (if professional)

Relationship to You (e.g., former supervisor, professor)

Contact Information (phone number and email)
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Physical examination report & Up-to-date MMR vaccine record

Physical & MMR

As part of our employment requirements, we kindly request that you provide a recent medical physical examination confirming that you are medically cleared to work with children and have no restrictions that would prevent you from performing your duties in a childcare setting.

Additionally, the medical documentation must confirm that you have received the MMR (Measles, Mumps, and Rubella) vaccine in accordance with health and safety regulations.

Please ensure that your healthcare provider includes these details in your physical examination report.
Drop files here or
PQ Registry certification

(PQ)

The Professional Qualifications (PQ) Registry is a database that stores information about educators in Massachusetts' early education and out-of-school time programs. The Department of Early Education and Care (EEC) manages the PQ Registry.

https://www.eec.state.ma.us/pqregistry/userinstructionsforeducators.pdf
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Completion of the 13 required modules

13 Modules ( Strong Start )

The "Strong Start" program includes 12 modules covering topics like: Child Abuse and Neglect, Emergency Response Planning, First Aid and CPR Overview, Food Safety, Hazardous Materials, Infant Safe Sleeping Practices, Infectious Diseases and Immunizations, Introduction to Child Development, Medication Administration, Physical Premises Safety, Shaken Baby Syndrome, and Transporting Children.

Key points about the Strong Start modules:

Focus on child safety:

The modules primarily focus on training staff working with children in child care settings on important safety protocols and procedures.

Required for staff:
These modules are mandatory training for all staff working in EEC-licensed and funded programs in Massachusetts.

Comprehensive coverage:
The 12 modules cover a wide range of topics related to child health, safety, and development.
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Experience & Qualifications
How many years of experience do you have working with children?*
What age groups have you worked with?*
- Infant
- Toddler
- Preschool
Are you certified in CPR and First Aid?*
- Yes
- No
Do you hold any Early Childhood Education (ECE) certificates or degrees?*
- Yes
- No
If yes, please list
Have you completed a background check or fingerprinting for EEC?*
- Yes
- No
Do you have your PQ (Professional Qualifications) Registry ID?*
- Yes
- No
PQ Registry #
Have you completed the 13 EEC Essentials Modules?*
- Yes
- No
Do you have a recent physical and MMR vaccination on file?*
- Yes
- No
Do you have at least two professional references from previous childcare jobs?*
- Yes
- No
Skills & Teaching Philosophy
What do you enjoy most about working with children?*
How would you describe your teaching or caregiving style?*
Availability
When are you available to start?*

Elizabeth’s Daycare and Preschool Center

Daycare Job Application Form

Upload supporting documents

Experience & Qualifications

Skills & Teaching Philosophy

Availability

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