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45 Pershing Avenue
Poughkeepsie, NY 12601
845.471.7477

Teacher Assistant Application

Your Name (required)

Your Email (required)

Your Address (required)

Phone (required)

Age (required)

Social Security Number

High School and Graduation Date (required)

College and Graduation Date

College Major

Interests

Describe any experience you have had working with children or teens (required)

Have you ever worked as a CIT, Counselor, or Teacher's Assistant at:



Describe your experience and responsibilities

Please list any relative work experience (up to 3) you have had with contacts and phone numbers. (required)

Please list three personal references including their name, contact, and phone number (required)

Please write a small paragraph describing your greatest strengths and weaknesses (required)