Daycare Job Application Form

Application for Employment

Thank you for your interest in joining our Kids Palace Family. Please fill out the application and we will get back to you as soon as possible!
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you have a valid drivers license?*

YesNo
Do you have a chauffeurs license?*

YesNo
Date you are available to start*

MonthDayYear
Date
Preferred Work Schedule*

Full-timePart-time
Experience
Do you have any previous childcare experience?*

YesNo
If so, please explain
Previous Employment
Have you been convicted of a crime other than a routine traffic violation?*

YesNo
If so, please list dates and circumstances
Education
Highest Level of Education*
Education History*
Special Skills and Certifications
List any equipment, machinery, special skills, and qualifications acquired from your past employment experiences.
List applicable professional or technical licenses or certifications relative to this childcare position you are applying for.
I certify that answers given are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary. This application for employment shall be considered active for a period of time not to exceed six months. Any applicant wishing to be considered for employment beyond this time should inquire as to whether or not applications are being accepted at this time. In the event of employment, I understand the false misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by rules and regulations of the employer. I understand that proof of a current valid driver's license is required in order to operate any and all company vehicles and that any city/state vehicular laws broken are my responsibility and may result in disciplinary action up to and including termination. I also understand that if hired by Kids Palace, my employment is at will and may be served by either party at any time with or without cause. Note: This document nor an offer of employment from Kids Palace does not constitute an employment contract unless a specific document to that effect is executed by the employer and the employment in writing.

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Application for Employment

Experience

Education

Special Skills and Certifications