Compass Application of Employment

Personal Information
Full Name*

First NameMiddle NameLast NameSuffix
Nickname/Preferred Name
Are you eligible to work?

Yes, I am over 16 years of age.Yes, I am over 18 years of age.
Gender

MaleFemaleOther
Phone Number*

Area CodePhone Number
Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
Social Security Number
Driver's License*

Number

Street Address Line 2

CityState

Postal / Zip Code
Can you read, speak, and understand fluent English?*

YesNo
Have you previously worked for Compass Child Care?

YesNo
How did you hear about us?
Do you have any relatives or friends who have worked or are working at Compass Child Care? If yes, please tell us their name and the city of the center they work(ed) at:
If hired, do you have a child/children that you would like to enroll in our program? If yes, please list their ages and birthdates.

Educational History
High School

Name of School

Street Address Line 2

CityState
Graduated High School?*

YesNo
College

Name of School

Street Address Line 2

CityState
Graduated College?*

YesNo
Field of Study
Additional

Name of School

Street Address Line 2

CityState
Graduated?

YesNo
Field of Study
Attach Post Secondary Education Transcripts to be considered for any Assistant Teacher or Teacher roles.

Browse Files

Cancelof
Attach additional Post Secondary Education Transcripts to be considered for any Assistant Teacher or Teacher roles.

Browse Files

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Training and Skills
Why are you applying for a position with Compass Child Care?
What specific qualities do you possess that will add value to the children in your care?
What qualities do you possess that will add value to your coworker team at Compass?
List any skills that relate to the job you are applying for:
Volunteer work:
Additional Information/Training:
What is your favorite children's book or movie character and why?

References & Authorization
Give the names of 3 people not related to you, whom you have known for at least 1 year.
Reference 1*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known*
How do you know this person?*
Reference 2*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known*
How do you know this person?*
Reference 3*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known*
How do you know this person?*
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history. I understand that employment at this company is "at will," which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment will continue on that basis. I understand that no supervisor, manager, or executive of this company, other than the president has the authority to alter the foregoing.

I also understand that a background study will be completed by the MN DHS and an employment offer will not be extended if I do not pass that study.
Yes, I agree.*

I have read and agree to the above statement.
Signature

Clear

Background Check Release

This information is for Background Check purposes only and will not be reviewed for your employment.
State of Birth
Race
Eye Color
Height
Weight
Social Security Number
Prior Names, Aliases:
Driver's License*

Number

Street Address Line 2

CityState

Postal / Zip Code
Prior Addresses (5 years)

Street Address

Street Address Line 2

CityState

Zip Code
Prior Addresses (5 years)

Street Address

Street Address Line 2

CityState

Zip Code
Prior Addresses (5 years)

Street Address

Street Address Line 2

CityState

Zip Code
Prior Addresses (5 years)

Street Address

Street Address Line 2

CityState

Zip Code
Background Study Notice of Privacy Practices

Fingerprint and Photo Information for DHS Background Study Subjects

Acceptable Forms of Identification for DHS Background Studies
I received the following forms:

Background Study Notice of Privacy PracticesFingerprint and Photo Information for DHS Background Study SubjectsAcceptable Forms of Identification for DHS Background Studies
I certify that this form is filled out correctly and understand that this will be used to run the mandated DHS background study. All employment offers are contingent on the results of this study. This background check is not complete until you fulfill the fingerprint portion of the study.
Signature

Clear
Date of Birth

MonthDayYear
Should be Empty:

Personal Information