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Shadow Hills Daycare Employment Application
We
consider applicants for all positions without regard to race, color, gender, national origin, age, marital status, veteran status, sexual orientation or disability.
Contact Info
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Are you at least 18 years of age
*
Yes
No
Desired Position
Please Choose at least one
*
Infant Teacher (0 - 14m)
Toddler Teacher (15m - 2y)
Pre-K Teacher (3 - 5y)
Teacher's Aide (all ages)
Substitute Teacher (all ages)
412 Summer Counselor - PART TIME
Preschool Ministry Childcare Worker - ON CALL
Custodial Support Staff
Education/Certifications
Highest Level of Education Completed
*
GED
High School Diploma
Associate Degree
Bachelor Degree
Master Degree
Doctoral Degree
Name of institution
*
Date of Completion
*
+
Do you possess a current health card
*
Yes
No
Do you have a current CPR certification?
*
Yes
No
CPR Certification Expiration Date
*
+
Do you possess a current sheriff's card (work card)
*
Yes
No
Please list any professional certifications you have which pertain to the position you are applying for.
Employment History
Employer Name
Start Date
+
End Date
+
Supervisor Name
Contact Number
May we contact this person?
Yes
No
List job duties at this employer
Reason for leaving
Your Text Here
Employer Name
Start Date
+
End Date
+
Supervisor Name
Contact Number
May we contact this person?
Yes
No
List job duties at this employer
Reason for leaving
Your Text Here
Employer Name
Start Date
+
End Date
+
Supervisor Name
Contact Number
May we contact this person?
Yes
No
List job duties at this employer
Reason for leaving
Church Affiliation
Do you currently attend Shadow Hills Church?
*
Yes
No
Where do you currently attend church?
*
References
Name
*
Contact Number
*
Email
*
Relationship
*
Personal
Professional
Name
*
Contact Number
*
Email
*
Relationship
*
Personal
Professional
Name
*
Contact Number
*
Email
*
Relationship
*
Personal
Professional
Background Check Info
List all names (maiden name, nick names, aliases, etc.) previously used
Government ID Issued By
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Washington DC
ID Number
*
Are you legally authorized to work in the United States?
*
Yes
No
Please upload your current resume
*
I certify that answers given herein are true and complete to the best of my knowledge. I authorized an investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event employment, I understand that false or miss-leading information given in my application or interview may result in discharge.
Applicant's Full Name
*
Date
*
+
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