The Depot Job Application Form

Team Application

Please complete the form below to apply for a position with us.
Applying for Position
Full Name

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Phone Number

Area CodePhone Number
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Social Security #
Driver's License #
Marital Status
Number of Children
Closest relative not living with you:

First NameLast Name
Relation?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Spouse's Name

First NameLast Name
Employer
Position
Mobile/Work Phone:

Area CodePhone Number
Personal Information

Note: To work in the child care industry, you must have graduated from High School or completed a GED.
Have you graduated from high school?
If yes, what year?
If no, GED?
Year GED received?
Name of School
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you now attend, or have you attended college in the past?
Name of College
College Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major/Degree
Year Graduated
Date available to work

MonthDayYear
Position:
Hours?
What is your desired salary rate?
Are you able to meet the attendance requirements of the position?
Have you ever plead "guilty" or "no contest" to, or ever been convicted of a crime?
If yes, give date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please provide details:
Please describe any special training or continuing education that you have had that would be beneficial in the position that you are applying for. Please give the name(s) of the organization(s) or agency sponsoring the training with dates received:
Please list any professional qualification or certification that you currently hold:
Have you been a resident of Texas for the last 3 years?
If no, please list residence for the last 5 years and out-of-state reference:
Do you now or have you ever had a drinking problem?
If yes, please give details:
Do you smoke?

Type a question

Rows	Employer	From/To	Address	Immediate Supervisor	Nature of Work Performed & Job Responsibilities	Reason for Leaving	Starting/FInal Salary	May we contact for reference?
Job 1
Job 2
Job 3

Describe any other experience you have had which feel is important. Please give dates and locations:
Do children relate well with you?
Do you relate well with children?
What is your favorite age group to work with?
Why?
Why do you want this job?
References

We may contact any persons listed for employment references. These references will be contacted so please be sure we have the correct names and telephone numbers.
Pastoral Reference:

First NameLast Name
Church:
Phone Number

Area CodePhone Number
How long have you attended this church?
What ministries of the church are you, or have you been involved with?
Please describe your salvation experience.
Friend/Relative

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Friend/Relative

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I hereby verify that I have completed this application to the best of my ability and that the answers are true.
Upload Resume

Upload a File

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Team Application

Personal Information

References