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 *

Zip Code *

Phone Number *

Email Address *

Are you at least 18 years of age *

Yes

No

Desired Position

Please Choose at least one *

Education/Certifications

Highest Level of Education Completed *

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 *

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 * +

Infant Teacher (0 - 14m)	Toddler Teacher (15m - 2y)
Pre-K Teacher (3 - 5y)	Teacher's Aide (all ages)
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Preschool Ministry Childcare Worker - ON CALL	Custodial Support Staff