Learning Ladder Application for Employment

Learning Ladder Application for Employment
Full Name*
Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address
Cell Phone
Home Phone
Email Address*
example@example.com
Driver's License
Salary Desired
Full TimePart TimeOther
Date available to start work

MonthDayYear
Date

Days and Times Available to Work*

	Monday	Tuesday	Wednesday	Thursday	Friday
Start Time
End Time

Are you a member of The Registry
What Level?

School Education

	School	Dates Attended	Major
High School
College
Early Ed Class / Other

How did you find us?
Past Employment

List most recent first
Are you currently employed?
May we contact your current employer?
Employer
Address
Supervisor's Name
Phone Number
Position & Duties
Salary upon leaving Reason for leaving
Reason for leaving
Employer
Address
Supervisor's Name
Phone Number
Position & Duties
Salary upon leaving Reason for leaving
Reason for leaving
Employer
Address
Supervisor's Name
Phone Number
Position & Duties
Salary upon leaving Reason for leaving
Reason for leaving
Refrences

Please list at least three professional references whom you have know at least one year and who can attest to you work ethic and interactions with children.
Name*
Phone Number*
Relationship to you*
Name*
Phone Number*
Relationship to you*
Name*
Phone Number*
Relationship to you*
Tell Us a Little About Yourself

Feel free to attach another sheet
What are you looking for in an employment opportunity at Learning Ladder?*
List any courses, volunteer work, hobbies, talents or interests that relate to the position you are applying for.
What age group do you prefer to, or not to work with?
Are you able to attend monthly staff meetings and yearly in service training?*
Have you ever been convicted of a felony?*
Add any additional comments you feel will assist us in evaluating your application
General Information

In compliance with state requirements, no person shall be hired or retained as a staff member, paid or volunteer, who:
1. Has been convicted of, admitted to, or been the subject of substantial evidence of an act of child battering, child abuse, or child molesting.
2. Uses alcohol or drugs such that its effects are apparent during working hours that children are in care.
3. Has been convicted of or admitted to any felony or any offense involving moral values.
4. Is not in compliance with any other state regulation or requirement.
Pledge
- I am aware that a background study will be performed; as required by law before I can be hired.
- I authorize investigation of all statements contained in this application.
- I understand that misrepresentation or an omission of facts is a cause for immediate dismissal.
- All information provided is true and accurate to the best of my knowledge.
In the event of my employment with Learning Ladder, I agree to comply with all the rules and regulations as stated in the employee policy manual. In the event I should terminate my employment, I agree to file my resignation two weeks prior to the date that it will be effective. I understand that the first three months of my employment are probationary and if my services have not proved satisfactory, my employment may be discontinued without notice or prejudice.

Affirmative Action Policy

Linda K's, Inc. is committed to providing equal employment opportunity to all terms, conditions, or privileges of employment, including but not limited to: recruitment, certifications, selection, job assignments, working conditions, fringe benefits, compensation, training, transfer, layoffs, disciplinary actions, termination's and promotions. It is the policy of Linda K's, Inc. to promote fair and equitable treatment of all employees, and to comply with federal and state legislation. Linda K's Inc. does not discriminate in employment on the basis of age, race, color, gender, sexual orientation, creed, religion, class, handicap, national origin, or ancestry. Harassment by supervisors or co-workers in employment or service delivery on the basis of race, color, gender, national origin, age, handicap, sexual orientation, or any other protected status is an unlawful employment practice prohibited by Linda K's, Inc. Harassment is defined as verbal or physical conduct interfering with an individual's work performance or creating an intimidation, hostile, or offensive working environment. Sexual harassment includes unwanted sexual advances, requests for sexual favors, and other verbal and physical conduct of a sexual nature. Harassment based on race or national origin includes ethnic or racial slurs and other verbal or physical conduct related to a person's race or national origin.
Attach Resume or Other Documents (optional)

Cancelof
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Learning Ladder Application for Employment

Past Employment

Refrences

Tell Us a Little About Yourself