Employment Application & Information Sheet

Employment Application & Information Sheet

643 W. Wintergreen Rd. Lancaster, TX 75134 972.218.0808 Fax 972.227.4255
Nondiscriminatory Statement:

Kid's University Learning Center & CVCC Church does not discriminate on the basis of race, color, sex, age, religion, nation or ethnic origin, or disability with respect to hiring, promotion, discharge, pay, job training, fringe benefits, classification, referral. and other aspects of employment.
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth City & State *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last address if 5 years has passed- Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Number*
Please enter a valid phone number.Format: (000) 000-0000.
Drivers LicenseIdentification Card
DL#*
ID#*
DOB*

MonthDayYear
Social Security #*
Email Addrees*
example@example.com
Height*
Weight*
Hair Color*
Eye Color*
MaleFemale

Experience with Children
Teaching AssistantWorking in Head Start programWorking in day care centerCare for child in your homeOther
Age/Grade of Children
Age
Please specify

References

Give the names and address of 3 persons not living with you and other than relatives who are willing to certify your character,ability, and experience:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Additional Information requested:
Resume Upload*

Cancelof
Write 1 paragraph describing how you have been a positive influence while working at a previous job.*

VERY IMPORTANT!!!

If you are not working or currently working and wage is over $10.00 per hour. Please bring your current check STUB with you to the interview. Also, please be ready to demonstrate or communicate the following:

Blank paper will be provided for you

1. Writing a lesson plan.

2. Writing an observation.

3. Describe process vs. product art.

4. What does classroom management mean to you?

5. What does teamwork mean to you? Give an example.

6. What does communication look like to you?

7. How important is being on time and coming to work on time mean to you?

8. Do you have reliable transportation?

We will discuss what it does and does not mean to Kid’s U Admin.
I, First Name Last Name ,give personal permission for Kid's University Learning Center - Cedar Valley Christian Center Ministries, Inc. to submit a personal background check and FBI fingerprint check as needed before employment
and should I be hired, during my employment at Kid's University Learning Center. I also agree and understand that CVCC Ministries/Kid U does not pay into the Texas Unemployment Tax.
Applicant Signature*

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Date*

MonthDayYear
Date
Should be Empty:

Nondiscriminatory Statement: