Group Supervisor/Head Teacher – Child Care Center

If you are having trouble submitting this form please call (724) 652-5144.

First Name*

Last Name *

Email Address *

Address 1 *

Address 2

City, State, Zip Code *

Phone Number *

Email Address*

Employment Type*

Years of experience working with children: *

Type of Degree:*

Year Degree Awarded:*

Keystone Star certified level:*

Current Clearances:*

Available Start Date:*

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