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Application for Employment

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Personal Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Are you 21 years or older?*
- Yes
- No
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?*
- Yes
- No
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
- No
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 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 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*
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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