MarrKens Learning AcademyEmployment Application
Name:
First Name
Last Name
Social Security #
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
State
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
For what position are you applying?
For what position are you applying?
Teacher
Lead Teacher
Teacher Assistant
Substitute
Floater
Full time
Part time
What co-curricular activities can you lead? (for example, in the areas of sports, music, dance, arts & crafts)
Are you bilingual?
Yes
No
Language
Record of Education
Record of Education
Rows
Name & Location
Last Yr. Completed
Did you Grad? List Diploma/Degree
1
2
3
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Certification
School
Date Received
NC Early Childhood Credential/Equivalent
Yes
No
If you do not hold NC Early Childhood Teaching credentials, list name of credentials you are working toward:
What is the anticipated date of completion?
List certifications you currently hold:
Child Care Work Experience - List your work experience relating to child care, duties, years and your former employer(s).
Administrative Work Experience - List your work experience as an administrator, duties, years, and special projects you may have initiated.
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Employment History
Employer:
Address:
Job Title:
Supervisor:
Dates:
to
Reason for leaving
Employer:
Address:
Job Title:
Supervisor:
Dates:
to
Reason for leaving
Employer:
Address:
Job Title:
Supervisor:
Dates:
to
Reason for leaving
References: Three professional references, people not related to you, however, know of your work performance and character.
Rows
Name
Address
Phone#
1
2
3
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Briefly state in your own words why you think early childhood education is of value to young children and what you can bring that is value-added.
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preview PDF
Submit
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