Head Start Job Application Form

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Street Address

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CityState / Province

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Please enter a valid phone number.

If you are related to anyone working in this agency or the ACDS, Inc. Board, provide the following:

*** Failure to disclose that you are related to staff or board will be considered a cause for termination if revealed after being hired. We have a nepotism policy.

Type in time-frame employed.

Please be advised that any offer of employment is contingent upon criminal record clearance. If a felony conviction is revealed after employment, employment will be terminated immediately.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Street Address

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CityState / Province

Postal / Zip Code

EmployedUnemployedSelf-EmployedStudent

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Postal / Zip Code

Please enter a valid phone number.

Street Address

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CityState / Province

Postal / Zip Code

Please enter a valid phone number.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please enter a valid phone number.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please enter a valid phone number.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please enter a valid phone number.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please enter a valid phone number.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Upload FileProvide URL

Website URL of your resume (Dropbox, Google Drive, iCloud, etc.)

This is to verify that no member of my immediate family (spouse, parents, siblings; also the following: in-laws, father, mother, son, brother, sister, grandchildren, niece or nephew is a member of the Board of Directors of ACDS, Inc. I further certify that I fully understand that I may not be employed in a position in which a member of my immediate family is my direct supervisor nor can I work in the same center as a relative. Furthermore, I certify that I have made a full disclosure of any criminal background, I am signing this statement with the complete understanding that a violation or falsification of any information on the application is grounds for termination without previous notice.

I fully understand that if hired I will be placed at any center where I am needed or where the employer feels is best for the program, and I can be moved from one center to another as needed without my permission or approval by me.

This application is in no way considered a contract between the ACDS, Inc. and any employee.

EMPLOYER AT WILL

I further understand that ACDS, Inc. is an "Employer At Will". My employment with ACDS, Inc. is an "at will" employee and should I be hired by this agency, my employment can be terminated at anytime, and I may resign anytime also.

Avoyelles Child Development Services, Inc. Application for Employment

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Employment History

Employment History

Employment History

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Resumé

Agreement