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Community Child Care Center Application for Employment

Step 1 of 3

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Your Personal Information

Your Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State ZIP Code

Your Phone(Required)

Best Time To Call You(Required)

When is the best time for us to reach you via telephone?

Emergency Contact(Required)

Name

Phone

Relationship

Position You're Applying For

Position You're Applying For(Required)

When Will You Be Available to Start Work?(Required)

Are You Over the Age of 18?(Required)

Are You Legally Eligible to be Employed in the US?(Required)

This Job Requires Occasional Additional Training After Closing Hours and Sometimes On Weekends. Are You Able to Commit to These Requirements?(Required)

Have You Ever Been Convicted of a Crime?(Required)

Please List Nature and Date(Required)

Have you ever been charged with any crime involving young children? If so, were you convicted? Would a background check pick this up?(Required)

Are you fluent in any language other than your native language?(Required)

Previous Employment

Are you employed now?(Required)

May we contact your current employer?(Required)

Your Previous Employers(Required)

Beginning with your present employment, please list your last 5 jobs, the position held, the dates, and reason for leaving.

Employer

Position

Dates

Reason For Leaving

More About You

List your educational background(Required)

List Diplomas, Degrees, and Certifications

School/Institution

Diploma/Certificate

Dates Attended

Do you have a GED(Required)

Beyond high School, have you completed any other certifications or workshops?(Required)

Have you completed any special courses, seminars, and/or training directly related to working with young children?(Required)

If Yes, Please Desribe(Required)

Type of Training

Relevance

Dates

Have you ever worked for this company before?(Required)

What Dates?(Required)

List three work references or references that are not related to you(Required)

Name

Phone

Relationship

Upload Your Resume

Upload your resume in .pdf, .doc or .docx format

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Terms and Conditions(Required)

PLEASE BE ADVISED THAT ALL APPLICANTS ARE FINGERPRINTED. THIS INCLUDES PROCESSING THROUGH THE ABUSE AND NEGLECT DATA BASE.

COMMUNITY CHILDCARE IS AN EQUALOPPORTUNITY EMPLOYER. WE CONSIDER APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, COLOR, ANCESTRY, DISABILITY, SEXUAL ORIENTATION, MARTIAL STATUS, PROTECTED VETERAN STATUS OR ANY OTHER LEGALLY PROTECTED STATUS.

IMPORTANT – PLEASE READ CAREFULLY BEFOE SIGNING

I UNDERSTAND THAT FAILURE TO PROVIDE TRUE AND COMPLETE INFORMATION OR GIVING FALSE OR MISLEADING INFORMATION BY ME ON THIS APPLICATION MAY RESULT IN DISQUALIFICATION FOR EMPLOYMEMT CONSIDERATION OR, IF HIRED, MAY BE GROUNDS FOR TERMINATION. I UNDERSTAND IF I AM HIRED, THAT EITHER COMMUNITY CHILD CARE OR I CAN TERMINATE MY EMPLOYMENT AT ANY TIME AND FOR ANY REASON, WITH OR WITHOUT CAUSE OR WITHOUT PRIOR NOTICE.

I agree to the terms and conditions.

Signature(Required)

Date(Required)

Month

Day

Year

Comments

This field is for validation purposes and should be left unchanged.

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