AOEL-Employment-Application

Employment Application
Thank you for choosing Acheivers of Excellence of Learning Academy in your career path. We are dedicated to hiring professionals who are energetic, motivated, and possess integrity. This is an Equal Opportunity Employer.

Also, please upload your resume at the end of this application.
Name

First NameLast Name
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Current Address

Current Address

Street Address Line 2

CityState / Province

Zip Code
Date of Birth
Social Security Number
Drivers License Number or ID
Email
example@example.com
Have you gone by any other name?

YesNo
If Yes, please list.
Have you lived in other cities?

YesNo
If yes, please list.
Have you lived outside of Texas or any other county?

YesNo
If so, where and when?
Applicants must show they understand and are able to meet the following requirements for employment by clicking on each item below that you agree with.

High School Graduate or G.E.D. recipientNegative TB Text and will provide current medical documentationUnited States Citizen, or legally authorized to work in the United StatesWill provide Social Security Card or Birth CertificateWill submit to drug and alcohol testing as requiredWill complete an FBI Criminal Background CheckPhysically able to safely supervise young children and perform necessary job functionsWill maintain professional appearance and conduct at all times
GENERAL INFORMATION
Employment desired

Full-Time OnlyPart-Time OnlyFull or Part-TimeOn Call
Position Desired
Hourly Rate Desired
Are you seeking temporary or permanent work

Hours available

	Monday	Tuesday	Wednesday	Thursday	Friday
Service Quality

REFERENCES
I authorize Achievers of Excellence Learning Academy to contact references and past employment contacts.

YesNo

Provide three (3) PERSONAL REFERENCES. (Do not list family or previous employers.) *Please provide a good e-mail for references

	Name	Address	Phone Number	Relationship (i.e., co-worker, friend, etc.)	email
Service Quality
Cleanliness
Responsiveness

Past Employment References

	Begin/End Date	Begin/End Salary	Employer/Address	Supervisor's Name & Phone No.	Your Title & Duties	Reason for Leaving
Service Quality
Cleanliness
Responsiveness

High School attended/address/year graduated
College attended/Degree/ or number years completed/Major
Child Development Associate Certification
List courses completed or relevant childcare training (CPR, First Aid, Child Development, etc.)
List other skills, vocational , and technical training
OFFENSES

Criminal background checks will be conducted on all applicants.
Have you ever pled guilty, no contest or been convicted of any criminal offense?

YesNo
If yes, explain.
Has a report of child maltreatment ever been made against you?

YesNo
If yes, explain.
Has a court ever denied parental, custodial, or visitation rights as a result of neglect or abuse of a child?

YesNo
If yes, explain.
While employed in a childcare program, have you ever been the subject or disciplinary action or been responsible for a child care facility receiving an administrative or disciplinary action?

YesNo
If yes, explain.
PLEASE ANSWER THE FOLLOWING QUESTIONS
1. What are your career goals and objectives
2. Why should Achievers of Excellence of Learning Academy hire you?
3. Define PROFESSIONAL CONDUCT. How does it apply to a child care/learning academy program?
4. Define CUSTOMER SERVICE and how it relates to a child care/learning academy program?
5. Describe your position on guidance as it relates to 3-year-old children arguing over a toy?
Would you ever hurt a child?

YesNo
Please explain.
An application form sometimes makes it difficult to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying. Print Please.
Affirmation
I hereby certify that all information contained in this application is true and correct. | understand that any misrepresentation, falsification, or consequential omission of information may render this application void, or if employed may result in immediate termination. I further consent and agree to submit to any job related medical exams or drug tests that might be required and agree to provide any information that may be needed to facilitate such tests. I authorize the individuals and institutions named above to give information regarding my employment, character, and qualification, hereby releasing them from all liability for issuing such information.
PLEASE UPLOAD YOUR RESUME HERE.

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Signature of Applicant

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Date

MonthDayYear
Date
Printed Name
For Office Use Only
Position
Director to Proceed with Interview (+ or -)
Date Hired

MonthDayYear
Date
Should be Empty:

Employment Application

GENERAL INFORMATION

REFERENCES

OFFENSES

PLEASE ANSWER THE FOLLOWING QUESTIONS

Affirmation

For Office Use Only