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  • School for Amazing Kids™

    Employment Inquiry Form
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  • Education / Training

  • References

    Please list 3 non-family member references. NOTE: One must be a previous employer if you have been previously employed.
  • Previous Employment 

  • Miltary Service

  • Work Availability

  • Please note: We open at 6:00 AM and Close at 6:30 PM. Please indicate a “window” within which you can work. For example, people desiring as many hours as possible, should write “open” to “close” where ever possible. If you put “open” to “close” as your availability, it doesn’t mean that we will schedule you for the entire time; it only means you are available for work within that window. The greater your availability, the more likely you’ll be scheduled for the hours you desire.

  • Criminal History Background Information Checks:

  • In accordance with Alabama law, (Act 2000-775, effective November 1, 2000), the criminal history background information check shall be completed on each substitute, caregiver, volunteer, and domestic worker, as well as any other person who has contact with the children or unsupervised access to the children shall be reviewed. You must complete a Mandatory Criminal History Notice Form and a Criminal History Information Consent and Release Form. There is a cost for the criminal history check (around $50) this fee will be paid through the Cogent System. If you previously had a criminal history check done for the Department of Human Resources, through the Cogent System in the last five (5) years and the required information is on file, it is not necessary to complete a criminal history check.

  • Clearance of State Central Registry on Child Abuse/Neglect:

  • A completed REQUEST FOR CLEARANCE OF STATE CENTRAL REGISTRY O CHILD ABUSE/NEGLECT (DHR- DFC-1598 shall be obtained for each caregiver, substitute, volunteer, domestic worker, and any other person who has contact with the children or unsupervised access to the children.

  • Statement of Health:

  • Clear
  • Disclaimer and Signature

  • By signing this form, I am affirming that the statements I have made in this inquiry form are true and factual to the best of my knowledge; and I am granting permission for all persons, organizations, or agencies listed above to be contacted for information regarding my background. If this inquiry leads to employment, I understand that false or misleading information in this inquiry or interview may result in immediate termination of my employment.

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  • THANK YOU!! 

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