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Application for Employment
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Personal Information
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Are you 21 years or older?
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Yes
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Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
*
Yes
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Excluding minor traffic offenses, have you ever been convicted of a crime?
*
Yes
No
If yes, please explain:
Desired Employment
For which position are you applying?
*
Date you are available to begin work?
*
Date Format: MM slash DD slash YYYY
Preferred salary?
Are you currently employed?
*
Yes
No
If yes, may we inquire of your present employer?
Yes
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If you are currently employed, how much notice are you required to give prior to leaving?
Have you ever applied with us before?
*
Yes
No
If yes, when and where?
Did someone refer you?
*
Yes
No
If yes, who referred you?
Education
Do you possess a high school diploma or equivalent?
*
Yes
No
Name and location of college(s) attended:
*
Area of studies?
*
Number of years attended?
*
Did you graduate?
*
Yes
No
Are you CDA or ACDS certified?
*
CDA
ACDS
Both
No
General Information
Subjects of special study or research work?
Special skills?
Have you served with any branch of the armed services?
*
Yes
No
If yes, with which branch did you serve and what was your rank?
Are you presently a member of the National Guard or Reserves?
*
Yes
No
Employment History
Current/most recent place of employment?
*
What is/was your job title?
*
Start Date
*
Date Format: MM slash DD slash YYYY
End Date (if applicable)
Date Format: MM slash DD slash YYYY
Supervisor or manager's name?
*
First
Last
Business Address
*
Street Address
Address Line 2
City
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Ohio
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Texas
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Armed Forces Americas
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State
ZIP Code
Business Phone
*
Previous place of employment?
*
What was your job title?
*
Start Date
*
Date Format: MM slash DD slash YYYY
End Date
*
Date Format: MM slash DD slash YYYY
Supervisor or manager's name?
*
First
Last
Business Address
*
Street Address
Address Line 2
City
Click to Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Business Phone
*
Please give your honest opinion on each of the following questions:
I feel I am qualified to work with children and families because...
*
List five characteristics you think are required of the position for which you are applying:
*
Why do you think you would work well at Playmates Preschools?
*
References
Reference #1 Name
*
First
Last
Reference #1 Phone
*
Relationship to Reference #1?
*
Reference #2 Name
*
First
Last
Reference #2 Phone
*
Relationship to Reference #2?
*
Reference #3 Name
*
First
Last
Reference #3 Phone
*
Relationship to Reference #3?
*
Application for Employment Agreement
The misrepresentation or withholding of information on this application provides sufficient reason for rejecting or immediately terminating a job applicant. Your digital signature below verifies that all information provided is true to the best of your knowledge.
I also understand that, in signing below, I am authorizing Playmates Preschools & Child Development Centers, Inc. to complete a background investigation, including a criminal background check, and as a condition of employment with Playmates Preschools and Child Development Centers, Inc., I agree to abide by the following clauses. I further understand that failure to do so will result in immediate dismissal.
CLAUSE ONE:
I will read and become familiar with all sections of all day care regulations provided to me by my employer. I understand that strict adherence to these regulations are conditions of my continued employment.
CLAUSE TWO:
I will become familiar with and adhere to any and all federal, state, and local requirements relative to the reporting procedures for observed or suspected child abuse of any form. This also applies to any internal policies of Playmates Preschools and Child Development Centers, Inc. relating to this matter.
CLAUSE THREE:
I agree to maintain strict confidentiality concerning any and all events that take place at Playmates Preschools and Child Development Centers, Inc. I will not discuss matters relating to Playmates nor the clients thereof with any persons not designated by the parents or guardians to receive such information.
Electronic Signature
*
If you agree to the above terms, please type your full name here.
Today's Date
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Date Format: MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
Holidays
Playmates Childcare observes the following holidays and will be closed
on these days:
• New Year's Day
• Memorial Day
• Independence Day
• Labor Day
• Thanksgiving Day
• The day after Thanksgiving
• Christmas Day
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Playmates Preschools & Child Development Centers
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