Teacher Candidate Information Form

Applicant Information

Full Name *

Preferred Name

Phone Number *

Email Address *

Position(s) Applied For

Before School Enrichment Teacher

After School Enrichment Teacher

Summer Camp Teacher

Tutor

City/Town and State of Position Applied For

Are you a citizen of the United States? *

Yes

No

Are you authorized to work in the U.S.?

Yes

No

Have you ever worked for Little Scholars? *

Yes

No

When did you work for Little Scholars

Availability Information

Available date to start *

Please select all days/times that you are available to teach

What times are you available to teach in the morning?

What times are you available to teach in the afternoon?

References

Please provide two to three references with one being someone who can speak to your ability to work with children.

Reference Name *

Relationship *

Email Address *

Phone Number *

Reference Name *

Relationship *

Email Address *

Phone Number *

Reference Name

Relationship

Email Address

Phone Number

Interview Information

Please list three days and times you are available to do a 30 minute video interview Monday-Thursday between 9am and 3:30pm EST.

Date *

Time *

:

Date *

Time *

:

Date *

Time *

: