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

Class or age of Students Preferred

How were you referred to us?

Upload Resume:

Upload a File

Describe your skills and experiance in Childcare:

Shift Or Hours you are available to work?

Training or Certifications:

Your Education

Rows	YES	NO
High School Graduation
CDA
Montessori Certification
Other Degree

Prefered Campus or Location?

Are you Looking for Full Time or Part Time?

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:

Birth Date

MonthDayYear

May we contact your present employer?

Current Employer Contact Name, Company and Phone Number

Did you complete this application yourself?

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