Employment Application

Employment Application Form:
Personal Information:

Updated January 2023
Full Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
E-mail
example@example.com
Birth Date

MonthDayYear
Are You a U.S. Citizen?
How Did you Here about us?
Employment Desired:
Position Applying For
Date You Can Start

MonthDayYear
Date
Salary Desired
Have You Worked in Childcare Before?
Have You been fingerprinted for Childcare?
Do you have a Current CPR & First Aid Certificate?
Do you have a CDA - Child Development Associate?
Have you attended College or any other Higher Education?
Education:
High School
Name of High School Attended
Graduated?
College
Name of College/University Attended
Graduated?
Area of Study/Degree
Cover Letter & Resume (Optional):
Resume

Upload a File

Cancelof
Work History
Tell us about your last job?
How long did you work there?
Are you currently working?
If so, when do you plan on giving notice?
Tell us what you liked most about your last job?
Tell us what you least liked about your last job?
Personnel Opinion
What would you say is the appropriate amount of "call ins" or "absences" in a week?
What would you say is the appropriate amount of "call ins" or "absences" in a month?
What. is your definition of reliable transportation?
Questionaire
Do you have any criminal arrest that would prevent you from passing a background check?
Do you have any health issues that would prevent you from performing your daily duties?
Childcare positions require continuous on going training, are you able to read & write proficiently?
List your hobbies, interest, or talents..
If you had issues with a Supervisor, explain how you would handle the situation?
If you had issues with a Lead Teacher, explain how you would handle the situation?
If you had issues with a Parent, explain how you would handle the situation?
Hygiene is very important. We expect our Staff to dress comfortably casual, without head wraps, or house shoes. In your opinion, what is appropriate work attire?
Do you have any current Childcare Credentials?
Why do you want to work with kids?
What do you like most about working with children?
What do you like least about working with children?
How would you handle a child that fails to comply and is overall very difficult on a daily basis?
Do you feel that you have an understanding of children's different development stages?
If you had a group of 5 year old's, what type of activity would you do with them?
Describe negative experiences you may have had when caring for children?
How would you help a child interact with his peers if they were only interested in playing alone?
How do you know if your teaching strategies are effective?
How would you handle an angry parent?
Do you have children of your own? If so, will they be needing care?
Where you referred by Someone? If so, who?
Personality

Describe yourself. In the section are groups of words. Score each group of words giving yourself (4), for most like you, (3) second, (2) third, and (1) for least like you.
Active, Opportunistic, Spontaneous
Orange
Competitive, Impetuous, Impractical
Orange
Realistic, Open - Minded, Adventuresome
Orange
Daring, Impulsive, Fun
Orange
Parental, Traditional, Responsible
Gold
Practical, Sensible, Dependable
Gold
Loyal, Conservative, Organized
Gold
Concerned, Procedural, Cooperative
Gold
Orderly, Conventional, Caring
Gold
Authentic, Harmonious, Compassionate
Blue
Unique, Empathetic, Communicative
Blue
Devoted, Warm, Poetic
Blue
Tender, Inspirational, Dramatic
Blue
Vivacious, Affectionate, Sympathetic
Blue
Versatile, Inventive, Competent
Green
Curious, Conceptual, Knowledgeable
Green
Theoretical, Seeing, Ingenious
Green
Determined, Complex, Composed
Green
Philosophical, Principled, Rational
Green
Send Application:
By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Should be Empty:

Employment Application Form:

Personal Information:

Employment Desired:

Education:

Cover Letter & Resume (Optional):

Work History

Personnel Opinion

Questionaire

Personality

Send Application: