Application

Educational Information
Name of High School*
Graduated?*

YesNo
Graduation Year*
If no, did you obtain your GED?*

YesNo
Are you currently certified in CPR?

YesNo
Name of College attended/attending (if applicable)
Degree
Years Attended

Teaching Experience
How many years of daycare experience do you have?*
Which age groups have you primarily worked with?

InfantsToddlersPreKSchoolagers
Please describe how work evaluations have been helpful to you:*
Explain why you enjoy working with kids*
Explain what you think are the challenges of working in childcare*
Are you familiar with Abeka curriculum?*

YesNo
Describe how you would handle a discipline issue in the classroom*

Employment Experience
Most Recent Employer *
Position*
Dates of Employment*
Reason for Leaving*
Name of Supervisor*
Supervisor Phone Number*
Please enter a valid phone number.
May we contact your most recent employer for a reference?*

YesNo
Previous Employer
Position
Dates of Employment
Reason for Leaving
Name of Supervisor
Supervisor Phone Number
Please enter a valid phone number.
Previous Employer
Position
Dates of Employment
Reason for Leaving
Name of Supervisor
Supervisor Phone Number
Please enter a valid phone number.

What areas do you feel are your strengths?*
What areas do you feel are your weaknesses?*
Please summarize any additional information that you would like to present regarding your possibility for employment:*
AGREEMENT (Read carefully before signing or submitting electronically)

By my signature:

• I acknowledge that individuals who provide false, inaccurate, or incomplete information in the application form, in an interview, or any other part of the hiring process or who fail to disclose information requested in the application form, in an interview, or any other part of the hiring process will not be eligible for employment, or, if they are hired, they will be subject to termination.

• I acknowledge that to the fullest extent permitted by state and federal law, Precious Stones Preschool and Daycare will consider all information concerning an applicant or an employee in making hiring, termination, and other employment-related decisions. The term "all information" includes information of any kind (verbal, written, photographic, videographic, etc.) that is accessible in any medium (print, electronic, etc.) from any source.

• I acknowledge that Precious Stones Preschool and Daycare will consider public information and other information to which it has lawful access. This may include information that is contained in social networking sites, blogs, and other electronic sites, such as YouTube. If there is information that pertains to me that I believe requires explanation, interpretation, or clarification when it is considered by Precious Stones Preschool and Daycare, it is my obligation to communicate this information to Precious Stones Preschool and Daycare.

• I authorize Precious Stones Preschool and Daycare to conduct a complete check regarding my background including, but not limited to, criminal record, child and dependent adult abuse registry screening, and sex offender registry. I agree to prepare and sign any other form necessary to complete a criminal background check. I further authorize all government agencies departments, bureaus, or related entities to release any and all information regarding my criminal history, if any. I agree to immediately notify Precious Stones Preschool and Daycare if I should be convicted of any crime while my application is pending, or during my period of employment if hired.

• I authorize all current and former employers, teachers, and references to release all information regarding my professional competence, performance, character, and background. I waive any right I may have against any person contacted as a reference concerning this application.

By my electronic submission of this form:

• I attest that all the information contained in this application is accurate, complete, and true.

• I am bound by all elements of the agreement section of the application.

• I understand and accept that electronic submission will be considered equivalent to an original hand written signature on a paper copy of the application.
Electronic Signature*
Should be Empty:

Employee Application

Personal Information

Educational Information

Teaching Experience

Employment Experience

Spiritual Information

Please read our Statement of Faith below: