Little Laughter's Job Application

Preliminary Employment Application

This is not a full application. This preliminary application will be reviewed and your qualifications will be considered for possible job openings.
Listed below are the procedures to follow when applying for positions at LITTLE LAUGHTER’S.
1. Fully complete the preliminary employment application and submit.
2. Read the job description for position applying for.
After you have submitted the pre-application, qualified applicants will be called for an interview.
Position Applying for:
Date of Application:

MonthDayYear
Date
Name:

First NameLast Name
SSN:
DL or ID Number:
D/O/B/

MonthDayYear
Date
State Born:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact Telephone Number:
Please list alternate phone number:
Email Address:
example@example.com
Type of Employment Seeking: (please check one or all that apply)

SeasonalTemporaryPermanentPart TimeFull Time
Days available

Monday through FridayOther
How were you referred to us?

Employment History, Educational Background & Skills

Begin with most recent position
Date of Employment:   Date   to   Date
Position Held:   Type a label
Employer:   Type a label
Address:   Street Address   Address Line 2   City   State   Zip
Phone Number:   Area Code   3462417558
Supervisor:   Type a label
Responsibilities:   Type a label
Starting Salary and Title:   Type a label
Ending Salary and Title:   Type a label
Reason for Leaving:   Type a label
May we contact this employer as a reference?
Date of Employment:   Date   to   Date
Position Held:   Type a label
Employer:   Type a label
Address:   Street Address   Address Line 2   City   State   Zip
Phone Number:   Area Code   3462417558
Supervisor:   Type a label
Responsibilities:   Type a label
Starting Salary and Title:   Type a label
Ending Salary and Title:   Type a label
Reason for Leaving:   Type a label
May we contact this employer as a reference?
Date of Employment:   Date   to   Date
Position Held:   Type a label
Employer:   Type a label
Address:   Street Address   Address Line 2   City   State   Zip
Phone Number:   Area Code   3462417558
Supervisor:   Type a label
Responsibilities:   Type a label
Starting Salary and Title:   Type a label
Ending Salary and Title:   Type a label
Reason for Leaving:   Type a label
May we contact this employer as a reference?

Education History:

Describe your major area(s) of study:
List any other training or information you would like to share for the employment you are seeking
Summarize Your Special Skills or Qualifications:

Applicant Certification and Agreement
Equal Opportunity Statement Little Laughter’s Child Care Center is an equal opportunity employer. All potential employees are evaluated without regard to race, color, religion, gender, age, national origin, marital or veteran status, the presence of a non-job-related handicap, or any other legally protected status.
Truthfulness and Investigation I certify that my answers are true and complete to the best of my knowledge. I authorize Little Laughter’s Child Care Center to conduct investigations and inquiries into my personal, employment, educational, and other related matters as necessary for employment decisions. I hereby release all employers, schools, and individuals from any liability when responding to inquiries in connection with this application.
Terms of Employment I understand that false or misleading information provided in my application or interview(s) may result in discharge. Furthermore, I acknowledge that if hired, I will be an at-will employee. This means I may be subject to discipline or dismissal without notice or cause, at the discretion of the employer. I understand that only the Director has the authority to change the terms of at-will employment, and any such change must be made in a formal, written agreement.

{name} Signature {dateof}
Should be Empty:

	Yes	No
Are you a US Citizen?
If not, are you legally allowed to work in the United States?
Can you read, write and speak English 75% of the time?
Have you ever plead "guilty", "no contest" or been convicted of a crime?
Do you have any physical conditions that may restrict your performance of the job for which you're applying for?
Have you read or been provided the job description for the position you are applying for?
Do you have the qualifications described in the job description?
Can you perform the function of the position as stated on the job description?

Preliminary Employment Application