• WPCC Application for Employment

    Please Print & Fully complete both pages
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  • Education

  • High School

  • Name of High School you Graduated from:      
    High School Location:      
    Dates you attended this school:       to           

  • Undergraduate Degree

  • College/University Attended:      
    College/University Location:      
    Dates you attended this school:  to    
    Course of Study:             

  • Name of College/University Attended:      
    College/University Location:      
    Dates you attended this school:       to    
    Course of Study:             

  • Graduate Degree

  • Name of College/University Attended:      
    College/University Location:      
    Dates you attended this school:       to    
    Course of Study:             

  • Education, Vocational Schools, etc.

  • Name of School Attended:      
    School Location:      
    Dates you attended this school:       to    
    Course of Study:             
     

  • References & Work History

  • Work History #1

    If you have not had work history please include internships or volunteer experience you have had related to early childhood.

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  • Work History #2

    If you have not had work history please include internships or volunteer experience you have had related to early childhood.

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  • I certify that I have given true, accurate, and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions, associations, registration, and licensing boards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigations of all statements made in this application and understand that false information of documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action, or dismissal if I am employed, and (or) criminal action. I further understand that dismissal on unemployment shall be mandatory if fraudulent disclosures are given to meet position qualifications.

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  • Should be Empty: