Employment Application
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Birthdate
*
-
Month
-
Day
Year
Date
Are you a U.S citizen?
*
Please Select
Yes
No
Will you be able to work within the Christian belief structure?
*
Please Select
Yes
No
Best time to contact you at home?
*
Do you have children that would be using KNA's service?
*
Do you have friends or relatives that work here?
*
Are you currently employeed?
*
Please Select
Yes
No
May we contact your present employer
*
Please Select
Yes
No
N/A
Are you willing to take training classes offered through the school or the state that would help prepare you to work with children?
*
Please Select
Yes
No
Are you prevented from lawfully becoming empoyed in the USA because of Visa or Immigration status? (Proof of citizenship or immigration status will be required upon employment)
*
Please Select
Yes
No
Have you ever been convicted of a felony, or a misdemeanor, or been involved with a child abuse or neglect court action official investigation?
*
Please Select
Yes
No
Please explain if you answered yes
Date you can start
*
-
Month
-
Day
Year
Date
Salary Desired
*
Position Applying For
*
Please Select
Teacher
Part-Time Staff Support
Cook
Assistant Director
Director
Substitute
Have you applied here before?
*
Please Select
Yes
No
Are you available to work
*
Part-Time
Full-Time
Temporary
Name of High School
*
Did you graduate from High school?
*
Please Select
Yes
No
GED
College name, if attended
Number of years attended
Area of Study/Degree
Are you CPR/First Aid Certified
*
Please Select
Yes
No
Are you MAT Certified
*
Please Select
Yes
No
Skills
Qualifications
Current Employer
*
Salary
*
Previous Employer
*
Position
Salary
*
Reason for Leaving?
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Reference 1
*
First Name
Last Name
Relationship
*
Years Acquainted
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email (Emails are required)
*
example@example.com
Reference 2
*
First Name
Last Name
Relationship
*
Years Acquainted
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email (Emails are required)
*
example@example.com
Reference 3
*
First Name
Last Name
Relationship
*
Years Acquainted
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email (Emails are required)
*
example@example.com
I waive any right that I have to compel Kidz Nation Academy to disclose contents of any submitted reference?
*
Please Select
Yes
No
Cover Letter
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Resume
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