Parent's Day Out Employee Application

Personal Information:

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Are you at least 18 years of age?

Yes

No

Phone Number

Email

Position:

What postion are applying for? (Check all that apply)

Lead Teacher

Assistant Teacher

Availability:

What is your weekly availability? (Check all that apply)

Monday 8:30 AM-2:30 PM

Tuesday 8:30 AM-2:30 PM

Thursday 8:30 AM-2:30 PM

Friday 8:30 AM-2:30 PM

Employment History:

Have you been employed in the last 5 years?

Yes

No

Who is your most recent employer?

Do you still work for this employer?

Yes

No

Reason for leaving:

Do we have permission to contact your most recent employer?

Yes

No

Your Direct Supervisor's First Name

Your Direct Supervisor's Last Name

Your direct supervisor's phone number:

Your direct supervisor's email:

Education & Experience:

What is the highest level of education that you have completed?

G.E.D.

High School Diploma or Equivalent

Some College

Associate's Degree

Bachelor's Degree

Master's or Higher

Do you have experience working in child care or a classroom setting?

Yes

No

Please specify what kind of child care experience you have.

Legal Compliance:

Do you, the applicant, have the legal right to work in the United States? (All hires will need to verify their identity and eligibility to work in the United States.)

Yes

No

Have you ever been convicted of a crime?

Yes

No

Applicant's Statement:

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

Signature

Today's Date