Name
Address
City
State
ZIP
Home Phone (xxx-xxx-xxxx)
Cell Phone (xxx-xxx-xxxx)
E-mail
Country of Birth
Languages
I learned about Global Child From
Boston Globe
Eagle Tribune
Patriot Ledger
Craigslist
Internet Search
Global Child Teacher
Other
Referred by Global Child Teacher:
Social Security # (xxx-xxx-xxxx)
Degrees with Majors and Minors
Teaching Experience (any age, any subject)
Experience with children ages 3-12 (coaching, volunteering, parenting, etc.)
Do you like to sing?
Yes
No
Are you a US citizen?
Yes
No
If you are not a US citizen, do you have a work permit? (required)
Yes
No
Towns you would like to teach in
Beverly
Bridgewater
Canton
Chlemsford
Dover/Sherborn
Easton
Framingham
Harvard
Hudson
Maynard
Melrose
Nashoba Regiona (Bolton, Lancaster, Stow)
Natick
Norwell
Raynham
Tewksbury
Wakefield
Waltham
Watertown
Wayland
Wilmington
Have you ever been convicted of a felony of have any pending cases?
Yes
No
Special Skills (drawing, acting, playing a musical instrument, etc.)
When would you be available?
September-June
Monday
Tuesday
Wednesday
Thursday
Friday
before school (7:30-9:00am)
after school (2:20-4:50pm)
Local References:
Name
Relationship
Phone (Business xxx-xxx-xxxx)
Phone (Home xxx-xxx-xxxx)
E-mail
Name
Relationship
Phone (Business xxx-xxx-xxxx)
Phone (Home xxx-xxx-xxxx)
E-mail
Please write a paragraph about why you want to teach a world language to young children.
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