• Employment Application

    Clay County Child Care Center and Head Start/Early Head Start in Clay, Cloud, Ottawa, Republic and Washington Counties. Equal Opportunity Employer
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  • Type of Work Desired

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  • Job Skills & Training

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  • Employment History

    List present employer or most recent employer first.  Use additional paper if you wish to include more than 3 employers.

     

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  • With this signature I give permission for the Clay County Child Care Center and it's Head Start/Early Head Start programs to contact my employers to request a reference and/or employment information.  I hereby release previous employers froma ny liability for any information which they provide.

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  • References

    Do not use employers or relatives in this space.  Please list 3 or more individuals whom are willing for us to contact for personal references.  INCLUDE PHONE NUMBERS.  References will be checked carefully and will influence hiring decisions.

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  • Reference Authorization

    I herein authorize my current and former employers and references to furnish any information about me and about my work expereince to the Clay County CHild Care Center (Head Start/Early Head Start).  I release my current and former employers and references from any and all liabilites or damages of any nature as a result of providing such information.

    I understand and consent to having criminal and arrest record checks as well as background checks by the Kansas Bureau of Investigation and KS Central Registry as a condition for consideration of my application.

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  • Drug Testing

    This agency is a drug-free workplace.  Employees may be screened prior to employment or at any given time during their employment with this agency.

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