KB Substitute Application
Please Fill Out the Form Below to Submit Your Job Application
Serious applicants only please!
Must have reliable transportation and must be able to travel up to 25 miles
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Earliest Possible Start Date
*
-
Month
-
Day
Year
Date
Are you 18 or older?
*
Yes
No
Are you legally authorized to work in the US?
*
Yes
No
Have you ever been convicted of a crime, other than a minor traffic violation?
*
Answering yes to this question does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, and rehabilitation will be considered.
What is your highest level of education? (please only check one)
*
High School Diploma or GED
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate Degree
Other (explain _________________________________)
Do you have an OCCRRA/Ohio Professional Registry (OPR) account?
*
Yes
No
If yes, please tell us current/most recent employment of daycare/childcare setting.
*
Name and address of location
Do you have experience working with children in a daycare/childcare setting? (Not including family members)
*
Yes
No
Do you have a current CDA (child development associate credential)?
*
Yes
No
Preferred age group to work with?
What are your days of availability?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Are you available full or part time? (check all that apply)
*
8am -4 pm
9am -5 pm
Part Time (AM)
Part Time (PM)
Provide 1 Professional Reference, 1 Personal Reference (Name, phone number and email address).
*
Do you prefer a morning or afternoon interview time?
*
What is your preferred method of contact?
*
Phone Call
Text
Email
Where were you last employed? (Provide Name and to/from dates)
Do you prefer a morning or afternoon interview?
*
How did you hear about us?
*
I certify that the above information is true and correct and I give authorization for investigation of all statements and information contained in this application, my resume and other documents or verbally obtained during employment
*
Signature
Other Documents to Upload (Resume, CPR, Diploma/Transcript, CDA Certificate)
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You can share certificates, diplomas, degrees, etc.
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