Application for Employment

Scribbles & Giggles Child Care Learning Center

To ensure proper consideration, please fill in the information below as completely and accurately as possible.

Personal Information

First Name *

Last Name *

M.I.

Address 1 *

Apartment/Unit #

City *

State *

Postal Code *

Phone *

Email Address *

Date Available *

Position Applying For *

Preferred Age Group: *

Briefly describe your experience working with young child? *

0/400 characters

Desired Wage *

Have you ever worked for this company? *

Yes

Have you ever been convicted of a crime? *

Yes

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

Yes

If no, please explain.

List the names & relationship of any friends or relatives who are either currently employed or have been previously employed with Scribbles & Giggles Child Care.

Education

High School *

From - To *

Did you graduate? *

Yes

College

From - To

Did you graduate?

Yes

Degree

College

From - To

Did you graduate?

Yes

Degree

Employment History

Employer #1

Address

Phone

Position

From (MM/YYYY)

To (MM/YYYY)

Salary

Supervisor/Manager

May We Contact This Person?

Reason for Leaving

~

Employer #2

Address

Phone

Position

From (MM/YYYY)

To (MM/YYYY)

Salary

Supervisor/Manager

May We Contact This Person?

Reason for Leaving

~

Employer #3

Address

Phone

Position

From (MM/YYYY)

To (MM/YYYY)

Salary

Supervisor/Manager

May We Contact This Person?

Reason for Leaving

References

Reference #1

Name *

Relationship *

Phone *

Occupation *

~

Reference #2

Name *

Relationship *

Phone *

Occupation *

~

Reference #3

Name *

Relationship *

Phone *

Occupation *

Additional Skills

Are you CPR Certified? *

Yes

Are you First-Aid Certified? *

Yes

Identify any relevant skills or training you have.

If available, please submit a copy of your resume.

Disclaimer and Signature

I attest to the truthfulness of any and all information and answers provided above. Any false or misleading statements or failure to disclose relevant information will be grounds for rejection of my application, disciplinary action, or dismissal if I am employed and (or) criminal action. I understand that the company will be checking into my references and employment background information. This application does not constitute a contract of employment or an indication that any jobs are available. Any employment with the Scribbles & Giggles is at-will, meaning the employer or employee can end the employment relationship at any time for any reason and with or without notice. My signature below verifies that I have read and understand the foregoing statements. *Please type in full name to agree* *

Signature: *

clear

Date: *