Lovely Child Development Center Childcare Job Application

Hello!

We are excited that you want to serve the Lovely Child Development Center family!

Our highest goal in the Lovely Child Development Center is to start the children off on the way they should go. We do that by providing structure and most importantly a safe and secure environment. Our aim is that children are well cared for and parents can feel confident when they entrust their kids to us. The heart behind this center is to serve families and children.

STEP 1: Fill out the following online application and submit.

STEP 2: Those applying will be called for an interview only if the applicant’s qualifications/skill set is deemed a good fit for our open positions.

We thank you in advance for your time and your willingness to serve at Lovely Child Development Center. Your service and your time are of great value to us as we strive to love on and provide care to children and families.

Thank you!

Alena Malone

Owner

Kevian Bell

Childcare Director

Application Date *

Full Legal Name*

First NameMiddle NameLast NameSuffix

Date of Birth*

MonthDayYear

Home Phone Number

Area CodePhone Number

Cell Phone Number*

Area CodePhone Number

E-mail*

example@example.com

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you a U.S. citizen or have appropriate documentation to show you are eligible to work in the U.S.? (Proof of citizenship or immigration status willbe required upon employment)*

YesNo

Marital Status: *

SingleMarriedDivorcedWidowed

Do you have children requiring childcare during work hours? If yes, list your children below (optional):*

YesNo

Child 1 Name

First NameAge

Child 2 Name

First NameAge

Child 3 Name

First NameAge

Are you employed now? *

YesNo

If you are currently employed may we contact your employer? If not please explain why.*

YesOther

On what date would you be available to start? *

MonthDayYear

AVAILABILITY Which of the following times are you available to work? Please check all that apply.*

Does your health limit your ability to lift children, sit down on the floor, bend over to pick things up off the floor, use a vacuum or broom, or climb on a small step stool? *

YesNo

Are there any other reasons you would not be able to perform the duties associated with the position for which you are applying? *

YesNo

How did you hear about this position? *

What is your highest completed education?*

Are you CPR certified? *

YesNo

Do you have any medical training? *

YesNo

If so what?

Please list any additional education/specialized training or certifications you have received.

Please list all current and previous experiences working with children & youth.

What are your strengths in working with children?

Please briefly share why you want to be involved in Lovely Child Development Center.

Are you willing and able to work with any age child? (0-12 years) *

YesNoOther

CONFIDENTIAL

Please answer the following questions honestly. Your answers to these questions will not necessarily disqualify you from a position.

If you prefer not to put your answers to these questions in writing, please check the box below. We can then discuss any confidential information with you in person.

I would rather discuss these issues in person.

YesNo

Have you or anyone in your immediate family ever been involved in a Child Protective Services (CPS) investigation?

YesNo

If yes, please explain.

Is there any other information involving you or your past that would call into question your being entrusted with the supervision or care of children?

YesNo

If yes, please explain.

Do you currently have any pending criminal actions against you?

YesNo

Have you ever been convicted of a criminal offense (felony or misdemeanor)? Answer “yes” if you have entered a plea agreement including a deferred sentence or deferred judgment arrangement in connection with a criminal case.

YesNo

Have you ever been charged or convicted of a crime of sexual offense?

YesNo

Have you ever been charged or convicted of a crime of offense relating to children?

YesNo

Have you ever been charged or convicted of a crime of violence?

YesNo

Have you ever been reported to any organization or registry for abuse or misconduct?

YesNo

Do you have any disciplinary action or investigation pending by an employer, other organization, professional association, or licensing body, for violence, sexual misconduct, or other misconduct?

YesNo

Have you ever been disciplined or dismissed from any volunteer or employment position for any reason?

YesNo

For any of the above that you answer “yes” to, please explain:

We will conduct a background check on you. Do you have any reason to believe that such a background check would disclose any information that would suggest that you should not employed by Lovely Child Development Center?*

YesNo

EMPLOYEMENT HISTORY

List job experience, starting with your present or most recent job.*

Current or most recent Employer Name

Date range employed

CityState

Reason for Leaving?

Current Employer Phone Number*

Area CodePhone Number

Past Employer*

Past Employer Name

Date range employed

CityState

Reason for Leaving?

Past Employer Phone Number*

Area CodePhone Number

Past Employer*

Past Employer Name

Date range employed

CityState

Reason for Leaving?

Past Employer Phone Number*

Area CodePhone Number

References

Personal Reference Name*

First NameLast Name

Personal Reference E-mail*

example@example.com

Personal Reference Phone Number*

Area CodePhone Number

How do you know this person and for how long?*

Professional Reference Name*

First NameLast Name

Professional Reference E-mail*

example@example.com

Professional Reference Phone Number*

Area CodePhone Number

How do you know this person and for how long?*

Please upload a current photo of yourself

Upload a File

If you have a resume you would like to add you may upload it here.

Upload a File

Lovely Child Development Center is an “AT-WILL” employer. The “AT-WILL” employment relationship affords the employee the right to resign for any reason. Likewise, the employer may terminate the relationship at any time, with or without cause and with or without notice. The “AT-WILL” employment relationship may not be altered by any written document or by verbal agreement, unless such alteration is specifically acknowledged in writing and signed by an authorized executive of Faith Bible Church.

By signing and submitting the form below, I indicate that I have carefully read the foregoing release, know and understand the contents. I also acknowledge that all of the information I have provided in this application is true and complete.

Please Sign*