Employment Application - Firefly Academy

Employment Application - Firefly Academy

Please complete the form below to apply for a position with us.
Full Name

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Phone Number

Area CodePhone Number
Social Security Number
Upload Resume (Optional)

Upload a File

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Educational Background (List schools and graduation year if applicable:)
Describe your experience working with children:
Why would you like to join our team at Firefly Academy?
Provide 3 references. Please include name and phone number for each reference.
Criminal History Check Information

First Family Church
The following information is part of the screening process at First Family Church. All information is confidential to the Preschool Director, the Deacons and the Leadership of the church.
Full Name of Applicant

First NameMiddle NameLast Name
List any other names in which you are known by or have been known by. Type NA if not applicable.
Race/Ethnicity:
Gender:
Date of Birth:

MonthDayYear
Date
Have you lived in any other state in the last three years?
If yes, list all states lived in during the last three years.
Current Driver's License number. Please include the state.
I certify the information on this form is true and accurate. I understand falsifying criminal history information is unlawful. I give my permission for the local Police Department or State agency authorized to obtain criminal history information and for them to release these facts to the Director of Firefly Academy, and Leadership at First Family Church.
I understand this is only a part time position on Tuesday and Thursday from 8:30-2:30.
Applicant's Signature:
Should be Empty:

Employment Application - Firefly Academy

Criminal History Check Information