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EMPLOYMENT APPLICATION
Posted 2 years ago
Apply Online
PERSONAL INFORMATION
First Name
*
Middle Name
Last Name
*
Date Of Birth MM / DD / YYYY
*
Phone Number
*
Your Email
*
A valid email address is required.
Current Address: Street
*
Current Address: City
*
Current Address: State / Zip
*
Emergency Contact Name And Phone Number
*
ABOUT THE POSITION
Position applying for
*
Location Applying For
*
Preschool
Infants and Todlers
Either
Work Preference
*
Full-Time
Part-Time
Either
Why Are You Interested In This Position?
*
What Date Are You Available To Start
*
Check Times You Are Available To Work
*
Morning
Afternoon
All Day
Either
Check Days You Are Available To Work
*
Monday
Tuesday
Wednesday
Thursday
Friday
TRAINING AND EDUCATION
Check the highest level of education completed.
*
GED
High School
College
Check any Safety Set classes you've completed?
*
Child Abuse
Intro to Health And Safety
Prevention Is Better Than Treatment
Safe Sleep
None
Do you have any of the following certificates?
*
Pediatric CPR and First Aid
Food Handlers Card
Foundations For Learning
None
Describe any other training or skills you offer:
*
List languages you speak:
*
Have you worked with children before?
*
Yes
No
If Yes, describe your experience.
*
EMPLOYMENT HISTORY 1
1. Most Recent Employer
*
1. Job Title
*
1. Describe duties and responsibilities:
*
1. Dates Employed: From - To
*
1. Supervisor Name / Phone Number
*
1. Hourly Rate
*
1. Reason For Leaving
*
EMPLOYMENT HISTORY 2
2. Employer
*
2. Job Title
*
Dates Employed: From - To
*
2. Describe duties and responsibilities:
*
2. Dates Employed: From - To
*
2. Supervisor Name / Phone Number
*
2. Hourly Rate
*
2. Reason For Leaving
*
EMPLOYMENT ELIGIBILITY
Are you authorized to work in the US for any employer?
*
Have you been charged/convicted of a felony and/or misdemeanor/or served time?
*
If you answered "Yes" to the above question, please describe incident, city, state and charge or indicate N/A
*
PROFESSIONAL REFERENCES
1. Name
*
1. Phone Number
*
1. Relation
*
2. Name
*
2. Phone Number
*
2. Relation
*
3. Name
*
3. Phone Number
*
3. Relation
*
Attach Resume
*
Submit