Walden Day Care Centre

Staff Application Form

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	Education
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	Employment Background
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	Child Care /Early Learning Experience (ie: field placements)
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	References (please provide three professional references!)
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	Documents Required for Employment at Walden Day Care Centre Inc (Please check all that apply to you)
Current Criminal Reference Check (within 3 months)	YesNo Invalid Input
Up to date immunization record	YesNo Invalid Input
Confirmation that you have received a two-step TB Test	YesNo Invalid Input
A note from a physician stating that you are Free off Communicable Disease	YesNo Invalid Input
If deemed "qualified" or "otherwise approved" a copy of your diploma or degree	YesNo Invalid Input
Anaphylaxis Training (confirmation that you have received it)	YesNo Invalid Input
A copy of your First-Aid/ CPR training (with expiry date)	YesNo Invalid Input
WHMIS Training (and confirmation that you have received it)	YesNo Invalid Input
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