Atlanta Event Childcare Application

Night Owl Kids Care, LLC.

Application for Independent Contractor Event Childcare
Night Owl Kids Care, LLC. provides equal employment opportunities (EEO) to all independent contractors and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Night Owl Kids Care, LLC. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Applicant's Personal Contact Information
Full Name*

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Some events, you are required to be at least 18 years of age
Are you at least 18 years of age?*
E-mail*
We will be corresponding with you via email, so please provide one that you check frequently.
Phone Number*

Area CodePhone Number
Your Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which positions interest you? Please note that all positions are contract (1099) and less than part-time hours. (Check all that apply)*

Event Childcare Worker for area Events (Local and Out of Town PRN)Watchcare Childcare Worker (On Local Military Base PRN)Watchcare On-Site Manager (On Local Military Base PRN)
Which general area do you wish to serve? Only select areas that you can access in a timely manner.
Georgia

Atlanta Metro AreaColumbusLaGrangeOther
Massachusetts

Boston Area
Nevada

Las Vegas
Tennessee

NashvilleSevierville/Gatlinburg/Pigeon Forge
Texas

AustinDallas/Fort WorthHoustonKilleen/Ft. HoodSan Antonio
Wisconsin

Wisconsin Dells
Are you legally authorized to work in the United States?*

YesNo
Do you have a valid government issued ID?

YesNo
Are you currently Certified in Pediatric and Adult CPR/ First Aid/ AED Training?*

YesNo, but I am prepared to complete this training with NOKC
If you are currently certified, please attach a copy of your Pediatric and Adult CPR/First Aid Card saved as "Last Name First Name CPR"

Upload a File
If you experience difficulty or issues uploading an item to the form. Please submit the form without the uploads and email the documents to apply@nightowlkidscare.com at a later time. Cancelof
Are you fluent in speaking, reading, and understanding English?*

YesNoSomewhat
Do you speak any other languages than English? List here: *
Are you fluent/proficient in American Sign Language?*

YesNo
What is your current employment status?*

Working Full timeWorking Part TimeAttending SchoolStay-at-home parentOther
Please describe your availability for working with Night Owl Kids Care, LLC. (Monday through Sunday and what time frames):*
Do you have access to reliable transportation?*

YesNo
Applicant's Capabilities
When answering these questions, please select scenarios that are optimal for your lifestyle and what you can accomplish comfortably and with certainty.
Please tell us the type of children you have cared for in the past and on your own:*

NewbornsInfantsToddlersPre-SchoolSchool-agedThose with special needs and/or developmental delays
Are you able to lift up to 40 lbs, bend, get on floor to play or assist children?
Are you comfortable working in an environment where children are of diverse cultures, ethnicities, faiths, and familial backgrounds/structures?

Yes, I am comfortable.No, I am not comfortable.
Have you had any experience working any of the following roles?*

TeacherTeacher's AideCDAChildcare WorkerBabysitterHealthcare workerNannyNone
Please additionally explain your different experiences you've had working with children with various needs:*
Education and Certifications
Please select all diplomas you have attained and/or your current education status:*

High School Diploma or equivalentAssociate's DegreeBachelor's DegreeGraduate's Degree
Please list the schools from which you graduated, attended, or currently attend. Start with High School*
Please upload your documentation for each of your certifications that are listed above:

Upload a File
If you experience difficulty or issues uploading an item to the form. Please submit the form without the uploads and email the documents to apply@nightowlkidscare.com at a later time. Cancelof
Past Employment

List your current/most recent job first
Please list your employment/volunteer history that involves working with children and/or group settings (List your current or most recent position first):*
If you were dismissed from any of the above positions, please explain the circumstances here:
Please attach your resume here with related childcare and/or volunteering experience for the past 10 years (education & other jobs should be listed as well):

Upload a File
If you experience difficulty or issues uploading an item to the form. Please submit the form without the uploads and email the documents to jmcgregor@nightowlkidscare.com at a later time. Cancelof
Additional Questions
Have you ever been accused of or investigated for abuse or maltreatment towards someone of a vulnerable population (child under 18 years, elderly, or mentally/physically disabled person) in your care, professionally or personally? (Include founded and unfounded)*

YesNo
If you answered "yes" , please explain the circumstances, details, and outcome for each occurrence:
References
List at least two professional references that can attest to your character, qualifications, and professionalism (These references cannot be relatives or personal friends)*
Please select a desired appointment time for your upcoming telephonic interview for this position. This will last approximately 30minutes. Please be sure you are prepared to fully engage and participate in the interview, and that you are in a distraction/noise free setting.
If you currently work for the watchcare program, please tell us your current payrate and position.*
If you are offered the position, would you be able to attend training and orientation central to your local area? Due to Covid-19, alternatives may be presented in this situation.

YesNo
Please tell us your size in Adult Unisex T-shirts? Shirt should fit comfortably, enabling you to bend and reach without skin showing.
By signing below, I agree that I have honestly provided true and factual information for the independent contractor positions at Night Owl Kids Care, LLC. I also understand that all information provided to Night Owl Kids Care, LLC. is confidential.
Signature
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Night Owl Kids Care, LLC.

Applicant's Personal Contact Information

Applicant's Capabilities

Education and Certifications

Past Employment

Additional Questions

References