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Night Owl Kids Care, LLC.

Application for Independent Contractor
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
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 CodeCountry
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)
Watchcare Only- At which military installation are you applying to work?
Event Childcare: In what location(s) are you able to work events?

ColoradoFloridaGeorgiaHawaiiIowaKansasKentuckyLouisianaMassachusettsMarylandMissouriNevadaNew YorkNorth CarolinaSouth CarolinaTennesseeTexasVirginiaWashingtonWashington D.C.WisconsinOther
Colorado

Denver and Metro AreaColorado SpringsBreckenridgeAspen
Georgia

Atlanta Metro AreaColumbusSavannah/Tybee IslandHilton Head, SC (45 min form Savannah)Jekyll Island
Hawaii

HonoluluWaikiki Beach, Honolulu
Iowa

Des Moines
Massachusetts

Boston Area
Kansas

Kansas City Metro Area
Kentucky

Nashville, TN Metro AreaFt. Campbell Area
Louisiana

BiloxiNew Orleans
Maryland

Baltimore, MDAnnapolis, MDCoastal MDWashington D.C.
Missouri

Kansas City, MOSt. Louis, MO
Nevada

Las Vegas
New York

BuffaloLake PlacidNew York City- ManhattanNiagara FallsRochesterSyracuse
North Carolina

Raleigh/DurhamFayettevilleCharlotteAshevilleWilmingtonCoastal NCMyrtle Beach, SC
South Carolina

CharlestonColumbia/ Ft. JacksonMyrtle Beach
Tennessee

NashvilleSevierville/Gatlinburg/Pigeon Forge
Texas

AustinDallas/Fort WorthHoustonKilleen/Ft. HoodSan Antonio
Virginia

ArlingtonMassanuttenVirginia BeachWashington D.C.Williamsburg
Washington

SeattleTacoma
Wisconsin

Wisconsin Dells
Have you completed a C-NACI Background check? (Child Care National Agency Check and Inquiries) This is typically completed for those who have worked with children on a base or under the Department of Defense.

Yes, I have successfully completed a C-NACI within the past 3 years and I can provide Line of Sight Supervision (LOSS)Yes, I have successfully completed a C-NACI and I can provide Line of Sight Supervision (LOSS), but it was more than 3 years ago.Yes, I have started the process of a C-NACI, but have yet to complete the process and I cannot provide Line of Sight Supervision (LOSS).No, I have not completed a C-NACI, but I am prepared to start a background packet once hired.
Are you legally authorized to work in the United States?*

YesNo
Do you have a valid government issued ID?

YesNoOther
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 ADD/ ADHDThose who are Medically FragileThose with Physical DisabilitiesThose with Autism Spectrum DisorderThose with Developmental Delays
Select any of the following actions for which you are able to complete without strain or difficulty:*

Sitting on the floorCrawling/ playing on the floorHolding up to 40 lbs.Bending over and picking up children
Are you comfortable working in an environment where children are of diverse faiths and familial backgrounds/structures?

Yes, I am comfortable working in an environment where children are from families of different faiths and diverse familial structures.No, I am not comfortable working in an environment where children are from families of different faiths and divers familial structures.
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:*
If applicable, please describe your experience with the Department of Defense's Watchcare Program. How long have you worked with this specific program? What are your roles?*
If applicable, have you ever been warned or reprimanded within the Department of Defense's Watchcare Program? If so, what was the reason and how has this issue been resolved?*
Education and Certifications
Please select all diplomas you have attained and/or your current education status:*

GEDHigh School DiplomaAssociate's DegreeBachelor's DegreeGraduate's Degree
Please list the schools from which you graduated, attended, or currently attend. Start with High School*
Are you certified in the any of the following?*

Pediatric & Adult First Aid/ CPR trainedChild Development AssociateAny childcare training courses from the state or federal systemsAny Early Childhood Education CoursesOther
If you possess any additional certifications that you feel apply to this job, please explain/list here:
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 (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 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
Have you ever been investigated for the abuse or maltreatment of a person of a vulnerable population? (Include founded and unfounded)*

YesNo
As an adult (18 years & older), have you ever had a consensual relationship with someone under the age of 16 years?*

YesNo
If you answered "yes" to any of the previous three questions, please explain the circumstances, details, and outcome for each:
Have you ever been charged, investigated, or arrested for any crime, misdemeanor, felony, or dismissal?

Yes, I have been charged, investigated, or arrested for a crime (misdemeanor, felony, or dismissed)No, I have not been charged, investigated, or arrested for any crime and I have a clean criminal record.
References
List at least three professional references (These references cannot be relatives or personal friends, and will need to be prepared to answer questions on your character, qualifications, and professionalism)*
In the previous question, did you list at least 3 professional references? To reiterate, they cannot be relatives or personal friends.

Yes, I listed 3 professional references. No one is listed as a friend, spouse, or relative.No, I did not list 3 professional references.
Please describe why you would be good for this position with Night Owl Kids Care:*
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 new to the watchcare program, please tell us your desired payrate.*
If you are offered the position, would you be able to attend training and orientation central to your local area or video call?

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 employee and independent contractor positions at Night Owl Kids Care, LLC. I also understand that all information provided to Night Owl Kids Care, LLC. is confidential. I understand that if I have not attached my valid government issued Drivers License and/or my Greencard or work permit (if applicable), my application will not be considered or reviewed.
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