Online Application for Employment Printable version
NAME: ADDRESS:
PHONE: Email:
Date Available: Desired Pay:
I am applying for: Location:
Shifts: All primary teachers are required to work between the hours of 8-9am and 5-6pm based on student to teacher ratio.
PLEASE CHECK THE FOLLOWING THAT APPLY:
How many years of experience do you have working directly with children in a licensed daycare center?
Do you have any medical condition(s) that may interfere with fulfilling the responsibilities of the position for which you are applying?
If yes, please explain:
Have you ever been convicted of a felony, barrier crime or subject of a founded Child Protective Service complaint?
If yes, please explain:
Employment requires Criminal Background Clearances. Is this acceptable to you?
In case of emergency, please notify:
Name: Phone Number:
Address: Relationship:
DISCLOSURE: BEFORE DRIVING A VEHICLE TO TRANSPORT CHILDREN, I REALIZE THAT I AM REQUIRED TO DISCLOSE ANY MOVING
TRAFFICE VIOLATION THAT OCCURRED FIVE YEARS PRIOR TO OR DURING EMPLOYMENT OR ASSIGNMENT AS A DRIVER.
List Education and Training
PLEASE LIST YOUR CURRENT OR MOST RECENT EMPLOYER AND ALL RELEVANT WORK AND/OR VOLUNTEER EXPERIENCE
1. Position: Date: Pay Rate: Reason for leaving:
Job Duties:
Employer's: Name: Address: Phone:
2. Position: Date: Pay Rate: Reason for leaving:
Job Duties:
Employer's: Name: Address: Phone:
3. Position: Date: Pay Rate: Reason for leaving:
Job Duties:
Employer's: Name: Address: Phone:
PLEASE ANSWER THE FOLLOWING QUESTIONS
1. Why are you interested in working with children? at KinderKidz?
2. What special skills and talents could you add to our program?
3. What is your style of guiding children’s behavior?
4. What are your goals for the position for which you are applying?
REFERENCES:
Name: Title: Phone: Relationship:
Name: Title: Phone: Relationship:
Name: Title: Phone: Relationship:
I certify the information in this application is true, and I give KinderKidz permission to contact any of the people/agencies listed above.
Name: Today's Date:
I understand that I will be required to submit written information to demonstrate that I possess the education, orientation training, staff development, certification, and experience required by the job position.
I hereby certify that the information given in this application is true and complete to the best of my knowledge.
2) How did you hear about the position?
KLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, political affiliation or belief protected by local, state, or federal law.
"Where Children Matter"
