Crisis Nursery Questionnaire

Thank you for the interest you have shown in the Sacramento Childrens Home. To further
assist us in reviewing your resume/application please complete the follow questionnaire and
return to us as soon as possible. Please email your response to jobs@kidshome.org ,
subject line titled: Crisis Nursery Questionnaire.
Please Note: Applicants with the highest level of experience, education, and schedule flexibility
will be contacted for interviews first. Hourly wage is dependent upon verifiable experience and
education in a licensed child care center, or comparable child care program or family daycare.
Name: _Kabede McInnis_____________________________
Date: _2/24/2016___________________
1. Please circle the shifts that you are available to work. If you are available for a partial
shift, please indicate your available hours under other, or indicate no availability.
Sunday
(7a-3p)

Monday
( 7a-3p)

Tuesday
(7a-3p)

Wednesday Thursday
( 7a-3p)
( 7a-3p)

Friday
(7a-3p)

Saturday
( 7a-3p)

3p-11p

3p-11p

3p-11p

3p-11p

3p-11p

3p-11p

3p-11p

11p-7a

11p-7a

11p-7a

11p-7a

11p-7a

11p-7a

11p-7a

Other:

Other:

Other:

Other:

Other:

Other:

Other:

2. There will be mandatory Wednesday meetings and trainings (1pm-3pm) for all of the
positions at this location; will you be able to make a commitment to attend those
meetings every Wednesday?
Yes

No

3. As a part of our staff you may be required to transport clients in a program vehicle, do
you have any concerns about this?
Yes

No

*If yes, is it because of any of these reasons?

No Drivers License

No Insurance

Other

: _____________________

4. How many Early Childhood Education credits have you completed? 9

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Crisis Nursery Questionnaire

Have you completed any of the following courses?
Child/Human Development?
Child and Family Community?
Programs and Curriculum?
Any infant specific courses?

Yes
Yes
Yes
Yes

Can you provide transcripts to verify completed units?

No
No
No
No
Yes

No

5. How many jobs have you held in the past 5 years?

Not worked in the last 5 years

One
Two
3 or more (if selected: How many:)

6. What was your length of employment at each job? What were your reasons for leaving
those positions?
3
7. If hired with SCH, how long would you anticipate working with the agency?

0-6 months
6-12 months
12-18 months
18-24 months
24+ months

8. Tell us why you would like to work with the Sacramento Childrens Home in this type of
position, and please list what skills or abilities set you apart from other applicants?
Sacramento Children's home provides safe, structure environment and by working as an
employee I will be able continue to uphold the standards in the field of social services.

Please be aware that as a part of our pre-employment process you will be required to
undergo a complete federal and state criminal background check and pass a drug,
physical, and TB Test.

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