MRA--Employment Application Form

Name:*

First NameLast Name

Phone Number:*

Area CodePhone Number

E-mail Address:*

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How were you referred to us?*

Class or age of Students Preferred*

Upload Resume:*

Upload a File

Describe your skills and experiance in Childcare:*

Shift Or Hours you are available to work?*

MorningAfternoonOpen/Any

Training or Certifications:*

Your Education *

	YES	NO
High School Graduation
CDA
Montessori Certification
Other Degree

Are you Looking for Full Time or Part Time?*

Full Time-35-40 HoursPart Time 20-25 HoursPart Time 25-30 HoursOpen

References Please list two (2) references that are familiar with your work life.

Reference 1

Name:*

First NameLast Name

Phone Number*

Area CodePhone Number

Years Known:*

Reference 2

Name:*

First NameLast Name

Phone Number*

Area CodePhone Number

Years Known:*

Driver’s License Number: State of issue:*

Expiration Date: of Drivers License*

Birth Date

MonthDayYear

Social Security Number:*

May we contact your present employer?*

YESNO

Current Employer Contact Name, Company and Phone Number

Did you complete this application yourself?*

YESNO

AUTORIZATION TO OBTAIN INFORMATION: I certify that all information stated is true and complete to the best of my knowledge. I authorize Montessori Reggio Academy to obtain information to validate the authenticity of this Application. I understand any omissions or misrepresentations may prevent my application from consideration of employment. I authorize Montessori Reggio Academy to obtain information about my criminal records and I also approve a background check to be conducted. If hired, I understand this application is not considered a contract. In the State of TEXAS , I am considered an at will employee and may be terminated by MRA at any time without notice. Background checks are conducted through DFPS and are required for employment.

Date

Signature*