Shadow Hills Preschool Employment Application
We consider applicants for all positions without regard to race, color, gender, national origin, age, marital status, veteran status, sexual orientation or disability.
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email Address
*
example@example.com
Are you at least 18 years of age?
*
Yes
No
Desired Position
*
Please Select
Infant Teacher (0-14M)
Toddler Teacher (15M-2y)
Pre-K Teacher (3-5y)
Teacher's Aide (all ages)
Substitute Teacher (all ages)
Custodial Support Staff
Weekday Summer Camp Counselor- PART TIME
Education/Certifications
Highest Level of Education Completed
*
Please Select
GED
High School Diploma
Associate Degree
Bachelor Degree
Master Degree
Doctoral Degree
Name of Institution
*
Date of Completion
*
/
Month
/
Day
Year
Do you possess a current health card?
*
Yes
No
Do you possess a current sheriff's card (work card)?
*
Yes
No
Do you have current CPR certification?
*
Yes
No
Please list any professional certifications you have which pertain to the position you are applying for.
*
Employment History
Employer #1
Employer Name
*
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Supervisor Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
May we contact this person?
*
Yes
No
List job duties at this employer.
*
Reason for leaving?
*
Employer #2
Employer Name
*
Start Date
*
-
Year
-
Month
Day
Date
End Date
*
-
Year
-
Month
Day
Date
Supervisor Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
May we contact this person?
*
Yes
No
List job duties at this employer.
*
Reason for leaving?
*
Employer #3
Employer Name
*
Start Date
*
-
Year
-
Month
Day
Date
End Date
*
-
Year
-
Month
Day
Date
Supervisor Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
May we contact this person?
*
Yes
No
List job duties at this employer.
*
Reason for leaving?
*
Church Affiliation
Do you currently attend Shadow Hills Church?
*
Yes
No
References
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Relationship
*
Personal
Professional
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Relationship
*
Personal
Professional
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Relationship
*
Personal
Professional
Background Check Information
List all names (maiden name, nick names, aliases, etc.) previously used
*
Government ID Issued By (ex: Nevada)
*
ID Number
*
Are you legally authorized to work in the United States?
*
Yes
No
Upload Your Resume
*
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I certify that answers given herein are true and complete to the best of my knowledge. I authorized an investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event employment, I understand that false or miss-leading information given in my application or interview may result in discharge.
*
Today's Date
*
-
Month
-
Day
Year
Date
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