Next Door Milwaukee

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone*

Email*

Enter Email Confirm Email

Next Door Position / Title

How many years experience do you have working in the early childhood education field?*

Include experience at Next Door and at other organizations.

What is your preferred method of learning?*

Check all that apply.

In what Pathways program are you interested in participating?

Infant / Toddler Path
Apprenticeship Path
Credits for Coaching Path
Associate's Degree Path

Check all that apply.

Why are you interested in the Pathways program?*

Consent*

I understand and agree to the following information regarding the Next Door Pathways Program:

* I intend to pursue a career in early childhood education.
* I am applying to the Next Door Pathways Program.
* I understand that applying does not guarantee acceptance in the program or the program of my choice.
* Milwaukee Area Technical College (MATC) offers all classes.
* I understand that, if accepted, I must also enroll at MATC.
* All MATC tuition and fees are costs covered by the Next Door Pathways Program.
* All MATC credits earned during the program will permanently be my credits earned. They do not belong to the Next Door Pathways Program.
* I understand that I must be employed by Next Door throughout the entirety of each class.
* I understand that I should continue my employment, in good standing, with Next Door or a Child Care Partner after I have completed the program.
* Next Door is the sponsor of the program and by participating in the Pathways Program I am a representative of Next Door.

By entering my first and last name below, I am confirming the information on this form and submitting my application for the Next Door Pathways Program.*

Date

Next Door Pathways Program Application Form – Next Door Staff

Next Door Pathways Program Application Form (Internal)

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