Employment Application
Personal Information:
Full Name:
*
First Name
Last Name
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
*
example@example.com
Are you the age of 18 or older?
*
Please Select
Yes
No
Are you under the care of a physician?
*
Please Select
No
Yes
If yes, please explain:
*
Are you able to lift up to 25 lbs?
*
Please Select
Yes
No
If no, please explain:
*
Have you ever been convicted of a crime?
*
Please Select
No
Yes
If yes, please explain:
*
Are you presently employed?
*
Please Select
No
Yes
Which program are you interested in?
*
GraceachildUSA Academy (Full-Day Care)
Kids Zone (Before & After School Care)
What position you are applying for?
*
What is your preferred age group?
*
What is your Early Childhood Education experience?
*
Are you interested in full-time or part-time work?
*
Please Select
Full-time
Part-time
Expected Salary:
*
Will you have a child attending Grace-A-Child?
*
Please Select
Yes
No
If yes, children's ages:
*
Educational Background:
Please list previous employment, starting with the most recent (You may email a resume below with additional information).
High School:
*
Received High School Diploma or Equivalent?
*
Please Select
Yes
No
College:
*
Received College Degree or Equivalent?
*
Please Select
Yes
No
Major:
*
Post Graduate College:
*
Received Degree or Equivalent?
*
Please Select
Yes
No
Major:
*
Employment History:
Please list previous employment, starting with the most recent (You may upload a resume below with additional information).
Resume Upload:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
1st) Reference
Place of Employment:
*
Position:
*
Duties:
*
Start Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
End Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Reason for leaving:
*
Supervisor Name:
*
May we contact this employer?
*
Please Select
Yes
No
2nd) Reference
Place of Employment:
*
Position:
*
Duties:
*
Start Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
End Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Reason for leaving:
*
Supervisor Name:
*
May we contact this employer?
*
Please Select
Yes
No
3rd) Reference
Place of Employment:
*
Position:
*
Duties:
*
Start Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
End Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Reason for leaving:
*
Supervisor Name:
*
May we contact this employer?
*
Please Select
Yes
No
4th) Reference
Place of Employment:
*
Position:
*
Duties:
*
Start Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
End Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Reason for leaving:
*
Supervisor Name:
*
May we contact this employer?
*
Please Select
Yes
No
Professional References:
Please list previous employment, starting with the most recent (You may upload a resume below with additional information)
Please list 3 Professional References: Name, Address, Phone Number
1)
*
2)
*
3)
*
Do you have any special skills or talents that would be beneficial in working with young children?
*
(Please include administrative, organizational, and communication skills.)
What 3 words describe your personality?
(Describe their relation in working in a children’s program.)
#1
*
#2
*
#3
*
Parents:
*
Children:
*
Life Shaper:
*
What do you think makes a successful Academy?
*
What behavior do toddlers and pre-school ages children exhibit when they are bored?
*
As a Life Shaper, what steps would you take to inform a parent of an accident? Confront a parent of a distruptive child? Respond to a voiced concern?
*
What are your future professional goals?
*
Where is your spiritual development?
*
Just Beginning
Making Progress
Growing
Advanced
Please provide us with your profession of faith below:
*
Staff Availability Information:
This section is to gather information to be efficient in communication. We will use it to increase the effectiveness of our classroom coverage, as well as covering changes in ratio, school-age early releases, emergencies, and weather delays.
Please upload your class schedule, other job schedule, and prior commitments if any below:
Class Schedule:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Other Job Schedule:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Prior Commitments:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please be detailed with the hourly time windows of which you are available to work, including times that will allow scheduling for ratio changes, emergencies, and weather related delays.
For example: A daily morning schedule may reflect 7:00am – 3:00pm, but in the case of hourly delays (1 or 2 hour delay), would be available to work until 4:30? Or an afternoon schedule may reflect 1:00 pm – 6:00 pm, but in case of early release would you be avilable to work starting at 12:00 pm?
Monday:
*
Tuesday:
*
Wednesday:
*
Thursday:
*
Friday:
*
Applicant Acknowledgement:
By completing this application, you give permission for Grace-A-Child to contact your references, verify your past work history, conduct a criminal background check, verify your driving record, and contact your previous employers to determine your suitability in working in the child care center.By signing this application, you affirm that the information is true to the best of your knowledge. You also agree to release the center for any liabilities that result from the verification. Thank you.
Signature
Submit
Submit
Should be Empty: