Hiring Application Form

Hiring Application Form

Complete this application with your contact, availability, work eligibility, experience, and references for A2SCS.
Applicant Information
Full Legal Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Preferred Position or Role
Desired Start Date

MonthDayYear
Date
Employment Type, Availability, and Work Eligibility
Employment Type Desired
Days Available
Hours Available
Are You Under 18 Years Old?
Are You Authorized to Work in the United States?
Do You Have Reliable Transportation?
Education and Childcare Experience
Highest Level of Education Completed
School or College Attended
Current Student Status
Previous Childcare or Work Experience
Why Do You Want to Work With Children?
Age Groups Comfortable Working With
Certifications and Trainings
Certifications and trainings completed

Other Training
Specify other training
CPR/First Aid certification date

MonthDayYear
Date
90-hour preschool certification date

MonthDayYear
Date
45-hour infant/toddler certification date

MonthDayYear
Date
45-hour school-age certification date

MonthDayYear
Date
Training provider or issuing organization
Additional certification or training details
Employment History
Previous Employer(s)
Most Recent Employer Name
Most Recent Job Title
Reason for Leaving Most Recent Position
References
Reference 1 Name

First NameMiddle NameLast Name
Reference 1 Relationship
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Email Address
example@example.com
Reference 2 Name

First NameMiddle NameLast Name
Reference 2 Relationship
Reference 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Email Address
example@example.com
Upload Resume (Optional)

Please upload your resume if you have one. If you do not have a resume, you may leave this blank.
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Applicant Commitments and Certification
I agree to complete all required onboarding paperwork
I agree to follow all childcare policies and procedures
I agree to accompany children on field trips when needed
I agree to assist with classroom activities as assigned
I agree to assist with cleaning and sanitation tasks
I agree to provide active supervision and maintain child safety
I agree to communicate professionally with staff and families
Certification Statement: I certify that all information provided in this application is true, complete, and accurate to the best of my knowledge.
Should be Empty:

Hiring Application Form

Applicant Information

Employment Type, Availability, and Work Eligibility

Education and Childcare Experience

Certifications and Trainings

Employment History

References

Applicant Commitments and Certification