Adult Staff Application- 2025-26

ASC Adult Application

Please only fill out this application if you are 18+ years old and have graduatued from High School.
Personal Information
Name

First NameLast Name
Email
example@sbts.edu
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Age (as of September 2, 2025)
Are you legally eligible to work in the United States?
Are you able to perform the essential job functions? (Ex: Watching the kids to make sure they're safe while playing, reminding them to be kind, safe, helpful, correct behavior etc.)
Experience, Skills, and Schedule
What days and times are you available during the school year? (ASC is only open on School days, no weekends or holidays)
Describe any previous work or volunteer experience with children (ages, settings, responsibilities).
What strengths or special skills (sports, art, STEM, music, etc.) could you share with kids?
Why do you want to work for AfterSchool Club?
Do you have any certifications, licenses, or training relevant to childcare or education? If yes, please state what they are
Would you be interested in working BeforeSchool Club? 6:15- 7:30 a.m. (Not a requirement to be hired)
Please select the grade level you would prefer to work with. Please select all that apply. (grades 4k-2 located at Bridges Elementary, grades 3-5 located at Grand Ave, 4k-5th grade held at Merrimac CC) *Location is not guaranteed but we will try our best to accommodate your prefered grade levels.
Are you certified in CPR/First Aid or other relevant training? (If not, would you be willing to obtain certification?)
Employment History
Employer (1)
Position Held
Dates Held
Supervisor Name
Reason for Leaving
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Background Information
Have you ever been convicted of a felony?
Have you ever been arrested or convicted of child abuse?
Are you willing to complete a background check and any required training through the Sauk Prairie School District?
References
Name

First NameLast Name
Relationship
Reference Email
example@sbts.edu
Reference Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Relationship
Reference Email
example@example.com
Reference Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
“I affirm that all information in this application is accurate and complete. I understand that employment is contingent upon successful reference checks, a background check, and completion of required trainings/certifications.”
Should be Empty:

ASC Adult Application

Personal Information

Experience, Skills, and Schedule

Employment History

Background Information

References