EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION
Name

First NameLast Name
What Location Are You Interested In Working At?
Position You Are Applying For

Other
Are You 18 Years or Older?
If No, What Is Your DOB?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Can you get text messages at this #?
Email Address
example@example.com
What Is Your Availability? (Please list any conflicts, like school or another job)
Any Work Experience In Child Care?
If So, How Many Years?
Can You Provide Employment Verification & Certificates?
Briefly Describe Previous Training, Responsibilities, and/or Experiences That May Help You In A Position With Wonder Years
Do you have an age preference working with Kids? If so, what is your preferred age group?
Do You Have Reliable Transportation?
Need Child Care for Dependents?
If So, What Is Their Date of Birth?
How Did You Hear About Us?
Why Should We Hire You For This Position?
Available Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What is Your Salary Requirement Per Hour?

Education Background (Don't Leave Any Blanks, Use NA or None)

Former Employer (List Last Job First) (Don't Leave Any Blanks, Use NA or None)

References (List 3 individuals NOT related to you, whom you have known 1 yr+)

Rows	Name	How do you know this person?	How long have you known this person?	Phone #	Email
Reference #1
Reference #2
Reference #3

I certify that the facts contained in this document are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

Wonder Years Child Development Center is governed by the Louisiana Department of Early Childhood. I understand that as signing this completed application, I am consenting and authorizingWonder Years Child Development Center to conduct a background investigation of me and the information provided in this application. I further acknowledge and understand that this investigation may include a Criminal Background Check and a Sex Offender Background Check. I understand that my initial and continued employment is conditional upon the results of these checks.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: