Tree Town Katy Inc. Job Application

APPLICATION FOR EMPLOYMENT

Tree Town Katy Inc
GENERAL INFORMATION
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Last 4 of SSN*
If hired, can you furnish proof you are eligible to work in the U.S.?*

YesNo
Are you at least 18 years of age or older?*

YesNo
Date of Birth MM/DD/YY
JOB INTEREST
Do you have reliable transportation to get you to and from work?*

YesNo
Preferred Salary Range?*
Check each day you are available to work*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Type of employment desired (check all that apply)*

Full-timePart-timeTemporarySummer only
Are you willing to work (check all that apply)*

Mornings (8:00 AM- 4:00 PM)Afternoons (3:30 - 7:30 PM)Extra Events(Occasional Fridays/ Weeekends)
Is there any time that you cannot work?
Employment History Information
Work History: Current and previous 2 employers (most current employer listed first)
Most Recent Employer Name

First NameLast Name
City, State
Position Held
Start Date

MonthDayYear
Date Finished

MonthDayYear
Employer phone

Area CodePhone Number
Supervisor name

First NameLast Name
Describe your duties:
Reason for leaving
NEXT EMPLOYER
Employer Name

First NameLast Name
City, State
Position Held
Start Date

MonthDayYear
Date Finished

MonthDayYear
Employer phone

Area CodePhone Number
Supervisor name

First NameLast Name
Describe your duties:
Reason for leaving
Additional Information
Have you ever been convicted of a felony?*

YesNo
If yes, please give date and explain
Have you ever been employed under a name other than the name used on this application?*

YesNo
If yes, please explain
EDUCATION INFORMATION
HIGH SCHOOL
Name & City/State of High School*
Course of Study/ Degree Earned*
Did you graduate?*

YesNoAttending
COLLEGE OR UNIVERSITY
Name & City/State of College or University
Course of Study/ Degree Earned
Did you graduate?

YesNoAttending
You should hire me because...*
What position are you interested in applying for

Janitorial StaffHead ChefTeacher AssistantTeacher

Do you have any children that need childcare while you work?*
Experience working with children…*
What do kids love about you?*
What are your favorite children’s books?*
What would you do if you found a penguin in the freezer?*
What is the most difficult aspect of childcare?*
What ages do you prefer to work with?*
Please list any social media handles

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorized Tree Town Katy Inc. to verify their accuracy and to obtain reference information on my work performance.

I hereby release Tree Town Katy Inc from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules, and regulations of employment of the Employer. However, I further understand that neither the policies, rules,
regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.
Choose ONE:*

I ACCEPTI DO NOT accept
Should be Empty: