Employment Application

Employment Application

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

First NameMiddle Initial Last Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Phone Number*

Area CodePhone Number
Which age group do you enjoy working with most?
What days and hours are you available to work? *
Desired Salary
Desired Start date

MonthDayYear
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the U.S.?

YesNo
Have you ever been convicted of a felony?*

YesNo
If yes, explain:

References

Please list two references
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Tell us briefly why you would like to join our team and work at Little Ones Learning Center.
We will be using the Brightwheel app for all of our daily activities. Please write an example of a brief note that you would send to a parent about their child's day.*
Upload Resume If Available

Upload a File

Cancelof

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature*
Should be Empty:

Work History