Application For Employment

Application For Employment
Which center are you applying to?

Lapeer Center - 1665 North Saginaw Street, Lapeer, 48446 Metamora Center - 3782 South Lapeer Road, Metamora, 48455 Romeo Center - 275 East Gates Street, Romeo, 48065
Name

First Name Middle Initial Last Name
Address

Street Address

Street Address Line 2

City State

Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Positin Applied For
Salary Desired
Start Date

Month Day Year
Date
Day/Hours Available:
Monday

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Tuesday

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Wednesday

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Thursday

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Friday

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Employment Desired:

Part Time Full Time
How many hours a week are you looking to work?
Education:

	Name of School	Location	# Of years	Major or Degree
School #1
School #2
School #3

Military:
Have you ever been in the Military?
Yes or No
If yes, What Branch did you serve in?

Employment History:
Name of Employer
Supervisor's Name
Business Address
Business Phone Number
Please enter a valid phone number.
Employment Start Date

Month Day Year
Date
Employment End Date

Month Day Year
Date
Beginning Salary
Ending Salary
May We Contact?
Job Title
Reason For Leaving
Name of Employer
Supervisor's Name
Business Address
Business Phone Number
Please enter a valid phone number.
Employment Start Date

Month Day Year
Date
Employment End Date

Month Day Year
Date
Starting Salary
Ending Salary
May We Contact?
Job Title
Reason For Leaving
Name of Employer
Supervisor's Name
Business Address
Business Phone Number
Please enter a valid phone number.
Employment Start Date

Month Day Year
Date
Employment End Date

Month Day Year
Date
Starting Salary
Ending Salary
May We Contact?
Job Title
Reason For Leaving

	Skills or Qualifications
1.)
2.)
3.)

I certify that the answers given herein are true and complete to the best of knowledge.

I understand that in giving incomplete or false information in an application or interview for employment is a serious matter and is grounds for dismissal and forfeiture of related benefits. If I am offered employment, I agree to conform to the rules and regulations of Little Learners Childcare Center LLC, and hereby acknowledge that if hired I will be an at will employer.

I understand that unless otherwise prohibited by applicable law, if hired, I may be required at any time to submit to a drug test as a condition of my employment with Little Learners. I understand that testing for drugs or alcohol will be required only if it is job-related and consistent with business necessity and state law, such as if Little Learners has a reasonable suspicion that I have reported to work under the influence of drugs or alcohol. By accepting employment if offered, I agree to submit to such tests as required by Little Learners and permitted by law, all at Little Learners expense.

I authorize Little Learners to make such investigations and inquires of my personal, employment or financial history and other related matters as may be necessary in arriving at an employment decision. I also authorize

for myformer employers, schools and other references to provide the information sought by Little Learners

in evaluating my application for employment.

I understand that Little Learners Childcare Center is an at will employer.
Signature

Clear
Date

Month Day Year
Date
Incomplete Applications Will Not Be Considered
Should be Empty:

	Yes	No
Do you have the legal right to work in the United State permanatly?
Are you at least 18 years of age?
Can you perform the essential job functions for this position?
If hired would you have reliable means of transportation?
Have you ever been convicted of a crime?

Application For Employment

Education:

Military:

Employment History:

Personal References: