First Parent Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Second Parent Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Home Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Approximate Employee Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
First Child's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Grade Level {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please List Any Special Needs, Medical Conditions/Concerns (Including Behavioral) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Second Child's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please List Any Special Needs, Medical Conditions/Concerns (Including Behavioral) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Third Child's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please List Any Special Needs, Medical Conditions/Concerns (Including Behavioral) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Fourth Child's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please List Any Special Needs, Medical Conditions/Concerns (Including Behavioral) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
If yes, how many days a week or how many hours/week? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
If yes, please describe your experience {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
If yes, please describe {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
If yes, please describe the type & size of your pet(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
If yes, please describe accommodations {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Total amount of PTO Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Overtime is paid on hours in excess of 40/week and is compensated at $_________ per hour. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
If employee will be using his/her car for job-related duties s/he will be reimbursed at $________ per mile. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Start-time and end-time for all days needed. (week days and/or weekends) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please describe your employee's tentative daily and weekly schedule & expectations {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How much flexibility do you need from your employee? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Tell us about your child(ren), your childcare needs, your child(ren)'s behavioral patterns, routines, activities (school & social) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Describe your ideal candidate (personality, skills, background, experience). {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Describe your family personalities, beliefs and culture. Your family activities and interests, and your overall environment/home life (calm, hectic, etc). And don't forget to add what makes your family awesome to work with and for! {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please include any other helpful information! This may include any household rules or practices that your employee should know. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please Upload Your Job Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
How did you hear about us?! {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Best time to contact you {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }