Fast Track Employee Interest Form

Fast Track Employee Interest Form
Thank you for your interest in the Early Educator Fast Track Initiative. The Fast Track Initiative is focused on helping the child care industry by recruiting new assistant teachers at a competitive wage and providing high quality training and professional development. If you are interested in employment as an early educator, please complete and submit this form and we will contact you shortly.*Please do not submit this form if you are currently employed by a child care center or family day home. Individuals who are already employed in an early childhood care and education setting are not eligible*
Contact Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What is the best way to reach you?*

EmailPhoneText

Employment Status/Information
Are you legally eligible for employment in the U.S.?*

YesNo
Are you currently employed?*

YesNo
What is the business name of your current employer? (Please note that individuals already employed by a child care center or family day home are not eligible for Fast Track. Please do not submit this form.)
Do you have a high school diploma, or the equivalent, such as a GED certificate?*

YesNo

Contact Information