STAFF: My Time Kids Academy Employment Application

Employment Application

Please complete the form below to apply for the My Time Kids Academy team.
Original Location: My Time -Bee Cave: 3698 Ranch Road 620 South, Suite 102-104Newest Location: My Time -Bee Creek: 3001 R O Road~ near Rough Hollow
Date of Application*

MonthDayYear
Full Name*

First NameMiddle NameLast Name
Email Address*
example@example.com
Primary Phone Number*
Format: (000) 000-0000.
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Desired Position*
Please choose one
Desired Start date

MonthDayYear
Date
8:30am - 2:30pm8:00am - 5:30pm1:00pm - 5:30pm
Monday - FridayMonday, Wednesday, FridayTuesday, Thursday
How did you hear about My Time Kids Academy?*
High School Diploma or equivalentAssociates DegreeBachelors DegreeMasters Degree
Name of School(s), years attended, area(s) of study:*
Work Experience- Job 1
Company/ Business Name*
Position Held*
Supervisor's Name*

First NameLast Name
Employer Contact Number*
Format: (000) 000-0000.
Employer email*
example@example.com
Company/ Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates of Employment
General job responsibilities:*
YesNo
Reason for leaving:*
Work Experience- Job 2
Company/ Business Name
Position Held
Supervisor's Name

First NameLast Name
Employer Contact Number
Format: (000) 000-0000.
Employer email
example@example.com
Company/ Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates of Employment
General job responsibilities:
YesNo
Reason for leaving:
A little more about you...
Who or what influenced your desire to become an early childhood assistant or educator?
Why do you want to become part of the My Time Kids Academy team?
What contributions/ talents will you be able to bring to our team?
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Please provide your social security number in the field below. This will be used for criminal history and FBI back ground check purposes only. Not required to apply.
Texas Human Resources Code Section 42.0563 requires an applicant for a position of employment at a General Residential Operation, Licensed Child Care Center, School-Age Program, Before and After-School Program, Licensed Child Care Home, and Registered Child Care Home to complete and submit, to the employing entity, this pre-employment affidavit disclosing whether the applicant has ever been charged with, adjudicated for, or convicted of having an inappropriate relationship with a minor. FORM 2912
A: I HAVE NEVER been charged with, adjudicated for, or convicted of having an inappropriate relationship with a minor.B: I HAVE been charged with, adjudicated for, or convicted of having an inappropriate relationship with a minor.
Explain related facts BELOW-

If you do not have any charges, adjudications, or convictions, please write NONE in each section below.

Examples of facts include but are not limited to: details about the incident, responding law enforcement agency and date of the charge.
If B was chosen above, complete the portion below. The following are all relevant facts pertaining to the CHARGE. Include if the charge was determined to be TRUE or FALSE. If you do not have any charges write NONE below.*
If B was chosen above, complete the portion below. The following are all relevant facts pertaining to the ADJUDICATION. If you do not have any write NONE below-(list information below):*
If B was chosen above, complete the portion below. The following are all relevant facts pertaining to the CONVICTION:*
By typing my full name below, I declare under penalty of perjury, that the forgoing is true an correct. I understand that failure to disclose the information required above is grounds for termination for employment. *

First NameLast Name
References

Please list three people, unrelated to you, who know your qualifications, character and fitness for the position for which you are applying. For teacher or assistant positions, one is preferred to be a student teacher supervisor, school director, or principal who directly supervised your most recent teaching position. Please contact these references and inform them that My Time Kids Administration will be contacting them.
Reference 1*

First NameLast Name
Reference profession/ title*
Phone Number*
Format: (000) 000-0000.
Reference 1- email*
example@example.com
Relationship to applicant*
Reference 2

First NameLast Name
Reference profession/ title
Phone Number
Format: (000) 000-0000.
Reference 2- email
example@example.com
Relationship to applicant
Reference 3

First NameLast Name
Reference profession/ title
Phone Number
Format: (000) 000-0000.
Reference 3- email
example@example.com
Relationship to applicant
Please use the space below if you wish to provide details of circumstances or qualifications not reflected in the application:
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Upload additional documentation here

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APPLICANT STATEMENT

I certify that the answers and information given herein are true, correct, and complete. I authorize investigation of all statements contained in this application for employment, as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination regardless of when the information is discovered to be false or misleading. I understand that My Time Kids Academy will not do a Risk Evaluation if the TDPRS Criminal History Background Check requires such, and any offer of employment will be null and void.

Thank you for your interest in being employed with My Time Kids Academy. Upon review of completed applications, a representative of My Time Kids Academy will schedule interviews with applicants who meet the initial requirements, as evidenced by the information provided herein.
Please type your full name below to represent your electronic signature:*
Signature
Date*

MonthDayYear
Date
Should be Empty:

Employment Application

Work Experience- Job 1

Work Experience- Job 2

A little more about you...

References