Employment Form Employment Form "*" indicates required fields Name First Last Today's Date MM slash DD slash YYYY Date of Birth MM slash DD slash YYYY Email Cell Phone Number If ApplicablePlease list your number if you have a cell phone.Home Phone Number If ApplicablePlease list your number if you have a home phone.Educational HistoryBriefly describe current (if applicable) and past educational history. Work ExperienceBriefly describe work experience.Specify any previous experiences with children and nature.List 3 references and phone numbers.Current CPR and/or First Aid Certification CPR First Aid Please check one or both boxes if you have current CPR and/or First Aid Certification. Emergency Number* First Last If there is any emergency while I am at work, please contact name above.Emergency Phone Number*If you would like to include a resume, please upload file.Max. file size: 2 MB.Cori Info Needed: First Name, Last Name, Middle Name* Current Address* Cori Info Needed: Place of Birth* Cori Info Needed: Date of Birth* Cori Info Needed: Last Six Numbers of Social Security* Cori Info Needed: Mother's First and Last Name* Cori Info Needed: Maiden Name If Applicable Cori Info Needed: Father's First and Last Name Cori Info Needed: State Driver's License Number If Applicable Immunization RecordMax. file size: 2 MB.Picture of LicenseMax. file size: 2 MB.Copy of Covid Vaccine Verification if you have been vaccinated.Max. file size: 2 MB.Copy of CPR Verification if you have one.Max. file size: 2 MB.