Employment Application Form

Kruz Kidz Employment Application

Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Position Applying For*

Please indicate your availability to work.*

Rows	Monday	Tuesday	Wednesday	Thursday	Friday
Start Time
End Time

When are you available to start work?*

MonthDayYear
Date
When do you need to end work?*

MonthDayYear
Date
YesNo
YesNo

Employment History

List below all present and past employment starting with your most recent employergoing back five years. Account for all periods of unemployment. You must completethis section even if attaching a resume.
Most Recent*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
YesNo
Second Most Recent
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
YesNo

High School*
YesNo
College or University
YesNo

Resume and Files

Cancelof
Comments

References

List three non-family member references below. If you have not been hired at Kruz Kidz before, ask each individual to write a detailed letter describing ability to work with both children and your peers. Information regarding your emotional and spiritual maturity as well as your dependability should be included.

We may contact these individuals in regards to your potential employment. They may
not be held responsible if you are denied employment. Kruz Kidz must receive all
references for consideration of application.
Pastor/Mentor/Teacher*
Reference 2*

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.*

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I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company’s designated representative.*

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Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by the Company, I am entitled to copies of any such public records obtained by the Company unless I check the box below. If I am not hired as a result of such information, I am entitled to a copy of any suchrecords even though I have checked the box below.*

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YesNo
Signature of applicant

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Should be Empty:

Kruz Kidz Employment Application

Employment History