A+ Children's Internship Program- Spring 2023

General Information

Semester applying For: *

Year applying for: *

Your Name *

Phone *

Email Address *

Instagram Handle

Facebook Link

How did you find out about us? *

Did anyone refer you to us? If so, who? *

Education

Education History *

	Current School	Major	Minor	Projected Graduation Month and Year
-	Current School	Major	Minor	Projected Graduation Month and Year

Because we are fully licensed by the State of California, there are certain education requirements to teach in our preschool or school age programs. Please attach a copy of your transcript (official or unofficial) to this application. We are not concerned with your GPA, merely the number of credit hours in certain classes. *

References

Please list three references who can provide information about your character and work ethic.

Reference #1 - Pastor/ Mentor Name: *

Reference #1 Email: *

Reference #2 - Employer Name: *

Reference #2 Email: *

Reference #3 - Friend Name: *

Reference #3 Email: *

Biographical Information

Briefly describe your family background. *

Briefly describe how you became a Christian. *

Describe your faith journey in the past 6 months. *

How do you respond to personality differences and communication difficulties? *

Legal Questions

Have you ever plead guilty, "no contest" or been convicted of any criminal offense? If yes, please explain. *

No

Yes Yes

Have you ever plead guilty, "no contest" or been convicted of child neglect or abuse? If yes, please explain. *

No

Yes Yes

Have any complaints or allegations of misconduct involving children or youth been made against you? If yes, please explain. *

No

Yes Yes

Have you ever participated (or engaged) in misconduct (sexual or otherwise) involving children? *

No

Yes

Have you had any traffic tickets or been in any vehicle accidents in the past three years? If yes, please explain. *

No

Yes Yes

Signature *

Date *