Woodson's Employment Application

APPLICATION FOR EMPLOYMENT
Kids R Kids is an equal opportunity employer and does not discriminate on the basis of race, religion, color, national origin, age, sex, gender, disability or any other characteristic protected by law.
Full Name*
Today's Date

MonthDayYear
Date
Address

Address

Street Address Line 2

CityState

Zip
Email address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Position Applying for
Full Time Or Part Time*
Salary Desired*
Date Available*

MonthDayYear
Date
YesNo
YesNo
YesNo
YesNo
Are you able to perform the essential functions of the position you are applying for with or without a reasonable accomodation?
YesNo
Under each day of the week, please list times available.
Monday*
Tuesday*
Wednesday*
Thursday*
Friday*
NoYes If yes, please explain in detail and include the date of final disposition of the case and the nature of the offense. (This information will not necessarily disqualify you from employment but false or misleading information will. Factors such relevance to theposition, age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.
Explanation:*
EDUCATION: (LIST EDUCATION AS IT RELATES TO THE POSITION FOR WHICH YOU ARE APPLYING)
High School or Last Grade Completed:
Name & Address of School
YesNo
College, Technical School or Other Schooling or Training
Name & Address of School
Course of Study
Number of years completed
Degree/Diploma
MILITARY EXPERIENCE:
Branch of Service
From
To
Job Related Training/Experience
EMPLOYMENT HISTORY: List positions starting with most recent:
Employer*
Telephone*
Format: (000) 000-0000.
Address*
Position Title*
Supervisor
Start Date*

MonthDayYear
Date
Date Left*

MonthDayYear
Date
Beginning Salary
Ending Salary
Duties
Reason for Leaving
Employer*
Telephone*
Format: (000) 000-0000.
Address*
Position Title*
Supervisor
Start Date*

MonthDayYear
Date
Date Left*

MonthDayYear
Date
Beginning Salary
Ending Salary
Duties
Reason for Leaving
Employer
Telephone
Format: (000) 000-0000.
Address
Position Title
Supervisor
Start Date

MonthDayYear
Date
Date Left

MonthDayYear
Date
Beginning Salary
Ending Salary
Duties
Reason for Leaving
WORK-RELATED REFERENCES: (Do not include relatives)
Occupation
STATEMENT (Please read this statement carefully before signing this application):

I understand that employment with the Company is at-will, meaning that I or the Company may terminate my employment at anytime, or for any reason consistent with applicable state or federal law. Initials below
Initials*
I understand that the Company may require the successful completion of any or all of the following as a condition of employment, as it relates to the position for which I am applying - criminal background check, drug test, physical, driving records and/or reference
Initials*
I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification

or willful omission shall be sufficient cause for dismissal or refusal to hire.
Signature of Applicant*

Clear
Date

MonthDayYear
Date
Should be Empty:

APPLICATION FOR EMPLOYMENT

EDUCATION: (LIST EDUCATION AS IT RELATES TO THE POSITION FOR WHICH YOU ARE APPLYING)

MILITARY EXPERIENCE: