Auburn Childcare Employment Application

Application for Employment
Applicant Information
Applicant’s Name*
Address (including city, state, & zip code)*
Telephone Number*
Email Address*
example@example.com
Education
High School Attended*
DiplomaGED:
Year of Completion*
Secondary Education
Name of School, College, or University last attended
Field of Study
Did you graduate
Year of Completion
Previous Experience in Childcare
Do you have any previous experience working with children? If so, please briefly explain.*
References
1. Name*
Phone Number*
Relationship*
2. Name*
Phone Number*
Relationship*
Previous Employment
Place of Employment*
Address*
Phone Number*
Supervisor Name*
Position*
Salary*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Job Responsibilities*
Place of Employment*
Address*
Phone Number*
Supervisor Name*
Position*
Salary*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Job Responsibilities
Equal Opportunity Employment
It is the intention of the facility to follow Federal, State, and local laws at all times. The facility doesn’t discriminate in employment regarding race, creed, national origin, political affiliation, marital status, age, gender, sexual orientation, or number of dependents. A staff comprised of people of varied religions, racial and cultural backgrounds is encouraged of the good of the children, their parents, and the community, as well as the staff and the facility. No employee shall aid, coerce, or conspire to cause a dismissal or resignation of another employee because of illegal discriminatory factors.
Should be Empty:

Application for Employment

Applicant Information

Education

Secondary Education

Previous Experience in Childcare

References

Previous Employment

Equal Opportunity Employment