We are currently accepting employment applications "*" indicates required fields General InformationName* First Last Email* Address* Street Address Address Line 2 City State ZIP / Postal Code Primary phone*Secondary phoneBirthday* MM slash DD slash YYYY Do You have the legal right to be employed in the US?* Yes No Position desired* Please specify hours and days when you would be available to work.* Date you can start working* Desired pay per hour*Do you have a child that would need to attend while you work?* Yes No EducationHigh School* Year of graduation* College Number of yearsYear of graduation Are you planning to further your education?* Do you have a 90 hour child care certificate?* Yes No List courses you have taken that relate to the child care field.For example: Art, psychology, children’s literature, etc.Would you consider your personality to be?* Patient Dependable Flexible Confident Check all that applyAre you willing to take additional courses in the child care field?* List experience working with children including volunteer work.*Why have you chosen to work in this field?*Employment HistoryAre you presently employed?* Yes No Present or last employer* From Date* To Date* Let us know if you are still employedEmployer Address Street Address City State Employer phoneReason for leaving Employment referencesReference 1Reference name* Position held* Reference phone*Reference 2Reference name Position held Reference phoneReference 3Reference name Position held Reference phoneLifting up to 40 lbs and visual activity to 25‘ is required for the position for which you are applying. Do you currently have any physical condition that might interfere with your ability to fully and adequately perform the job? If so please describe.*Have you been convicted of any crime including D.W.I? (please exclude minor traffic offenses)* Yes No If YES, state offense, location, date and disposition. (note, conviction will not necessarily disqualify you from employment)*Please quickly and briefly complete the following phrases about young children. Write your first response not what you think we want to hear!Working with children is* Young children need* When I speak to young children I* Play is important because* Children are happy when* What makes children unhappy?*
