Please complete the form below to indicate your interest in

TMC Childcare

The Motherhood Collective provides programming for individuals in the pre-conception to postpartum phase. For some of our programming we offer free childcare for our attendees for their children ages 1 through 4 years old. We are always looking to build our list of quality childcare workers. Please fill out the form below to express your interest in being considered for a childcare worker position. Please e-mail contact@themotherhoodcollective.org with any questions you might have.

Full Name

First Name

Last Name

Phone

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Mailing Address

Please complete if different from home address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you available on the 2nd and 4th Monday Mornings of each month between 8:30am-11:30am?

Are you available to work on Monday evenings between 6:45pm and 8:15pm

Are you available on the first Saturday of the month from 8:30am-11am?

Are you willing to work on school breaks?

*if it applies: if not click yes*

Do you have your own transportation?

If you are a Liberty Student, do you wish to work for CSER or as a paid position?

Are you CPR and/or First Aid Certified?

Please list your previous childcare experience:

Please list three references:

Please include each reference's full name, e-mail address and phone number.

Please list any additional information you wish to share or questions you may have: