JOB APPLICATION

JOB APPLICATION
The Playground of Grandlake 10002 Gulf Hwy, Lake Charles, Louisiana 70607 2272632258

The Playground Of Grandlake is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:
Applicant Name
Address

Address

Street Address Line 2

City State and Zip CodeState / Province

Postal / Zip Code
Telephone Number
Email Address
example@example.com
Date of Application

MonthDayYear
Date
Employment Position Position(s) applying for: Early childhood educator
How did you hear about this position
What days are you available for work
What hours or shift are you available for work
On what date can you start working if you are hired

MonthDayYear
Date
Do you have reliable transportation to and from work
Do you have any friends relatives or acquaintances working for The Playground of Grandlake
If yes state name relationship
Do you have any friends, relatives, or acquaintances working for The Playground of Grandlake If yes, state name & relationship:

Are you 18 years of age or older? Are you a U.S. citizen or approved to work in the United States?
What document can you provide as proof of citizenship or legal status
Do you have any condition which would require job accommodations?
If yes please describe accommodations required below
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
If yes please state the nature of the crimes when and where convicted and disposition of the case
Job SkillsQualifications
Job Skills/Qualifications Please list below the skills and qualifications you possess for the position for which you are applying:
(Note: The Playground of Grandlake complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.

Education and Training High School Name
Name
Location City State
Year Graduated
Degree Earned
Name
Location City State
Year Graduated
Degree Earned
Vocational School/Specialized Training Name
Name
Location City State
Year Graduated
Degree Earned
Are you a member of the Armed Services? What branch of the military did you enlist?
What branch of the military did you enlist
Are you a member of the Armed Services
What was your military rank when discharged
How many years did you serve in the military
What military skills do you possess that would be an asset for this position
Previous Employment Employer Name: Job Title:
Employer Name
Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving
Job Title
Address

Employer Address

Street Address Line 2

City State and Zip CodeState / Province

Postal / Zip Code
Supervisor Name
Dates Employed

MonthDayYear
Date
Reason for leaving
Job Title
Employer Name
Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving
Employer Address
Supervisor Name
City State and Zip Code
Dates Employed

MonthDayYear
Date
Reason for leaving
Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving
Job Title
Employer Name
Supervisor Name
Address

Employer Address

Street Address Line 2

City State and Zip CodeState / Province

Postal / Zip Code
Dates Employed

MonthDayYear
Date
Reason for leaving
References Please provide 3 personal and professional reference(s) below:
What is your preferred age group
AT-WILL EMPLOYMENT
The relationship between you and the The Playground of Grandlake is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the The Playground of Grandlake . No representative of The Playground of Grandlake has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.
Applicant Signature

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Dated

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JOB APPLICATION

AT-WILL EMPLOYMENT