Employment Application
Applicant Information
Full Legal Name
*
First Name
Middle Name
Last Name
What name do you prefer to be called?
*
Preferred name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Social Security Number
*
Enter SSN
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Work Preferences
What date are you available to start?
*
-
Month
-
Day
Year
Date
What is your desired salary per hour?
*
per hour
Position you are applying for:
*
Lead teacher
Assistant teacher
Substitute teacher
Other
What age group(s) do you like working with?
*
Infants (birth to 12 months)
Toddlers (1-3 year olds)
Pre-K (4-5 year olds)
Indicate the times you are available to work.
*
Mornings (7:45 start)
Mornings (9:00 start)
Afternoons until 5:30
Monday
Tuesday
Wednesday
Thursday
Friday
If you have any other info regarding your schedule, please enter it here.
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Education
Name of High School attended
*
City and State of High School attended
*
Did you graduate from high school?
*
Yes
No
List any college(s) attended
City and state of any colleges attended
List any degrees or professional certificates you have earned.
List any relevant continuing education, training, or special skills you possess.
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References
List 3 references. At least 1 should be a professional reference.
Type a question
*
Full Name of Reference
Company/Organization
Relationship to applicant
Phone number
Reference #1
Reference #2
Reference #3
Previous Employment
Or relevant volunteer experience
Previous Employment #1
*
Please enter information about your current or most recent job
Company
Address
Supervisor
Phone
Job Title
Responsibilities
Date started
Date ended
Salary started
Salary ended
Reason for leaving
Previous Employment #2
Please enter information about your next most recent job
Company
Address
Supervisor
Phone
Job Title
Responsibilities
Date started
Date ended
Salary started
Salary ended
Reason for leaving
Previous Employment #3
Please enter information about your next most recent job
Company
Address
Supervisor
Phone
Job Title
Responsibilities
Date started
Date ended
Salary started
Salary ended
Reason for leaving
If you want to tell us more, please use this space.
Signature
I certify that my answers are true and complete to the best of my knowledge. I consent for the preschool to contact my previous employers. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
Submit
Should be Empty: