E-mail Address: *
First Name: *
Last Name: *
Address: *
City: *
State: *
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Hawaii
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Maryland
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Washington, DC
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--U.S. Territories--
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U.S. Virgin Islands
Zip: *
Phone: *
Best Time to Reach you:
*
Morning
Afternoon
Evening
Night
Cell Number: *
Requirements for
Employment: (each requirement must be read and then have it's box checked) *
Applicant
is a High School Graduate or has a GED
Applicant must
provide a copy of their Drivers License / State ID Card & SS Card or Birth Certificate
Applicant can write and speak fluent English
Applicant is at least 18 years of age or older
Applicant has United States
Citizenship or is legally authorized to work in the United States
Applicant is able to sit on the floor and in the
children's chairs often
Applicant is physically able to get up and down from
floor activities
Applicant will maintain Professional appearance and conduct
Applicant has the ability to meet all job requirements
which may vary
Applicant is able to drive a motor vehicle
All hired employees are subject to random drug testing
Any hired employee found
under the influence of drugs, alcohol or controlled substances within Gahanna Childrens College will be immediately dismissed
All hired
employees will respect Gahanna Childrens College as a drug free facility and a smoke free environment
Criminal Offenses - Check
all that Apply: (criminal background checks will be conducted on all applicants) *
I have not pled guilty, no contest or been convicted of any criminal offense
I have pled guilty, no contest or been convicted of a
criminal offense
I have not been the subject of an
indictment, arrest or an official criminal complaint
I have been the subject of an indictment,
arrest or an official criminal complaint
Criminal Offenses
Continued: (if you have any criminal offenses, please explain)
Position Applying for: *
Position Category: (select
the area(s) you are qualified in or would consider) *
Infant &
Toddler (6 weeks - 2 years old)
2 years old - 3 years old
3 years old - 4 years old
4 years old - 5 years old
5 years old - 12 years old
Wage/Salary Expected: *
Available Start Date: *
Are you Seeking
*
Full Time Work
Part Time Work
Would Consider Either
Do you have Reliable
Transportation: *
Yes
No
Public Transportation
Own Vehicle
Other
Do you have Reliable
Transportation Cont: (if you checked other for the above question, please explain)
Are you Willing to Work
Overtime Cont: (if you checked no to the above question, please explain)
Are you Willing to Work
Overtime: *
Yes
No
Previous Employer #1:
Dates Employed:
Supervisor Name:
Phone:
Job Duties at Previous
Employer:
Previous Employer #2:
Dates Employed:
Supervisor Name:
Phone:
Job Duties at Previous
Employer:
Previous Employer #3:
Dates Employed:
Supervisor Name:
Phone:
Job Duties at Previous
Employer:
Professional Reference #1
Employer
Email & Telephone
Professional Relationship
Years Known
Professional Reference #2
Employer
Email & Telephone
Professional Relationship
Years Known
Professional Reference #3
Employer
Email & Telephone
Professional Relationship
Years Known
Highest Level of
Education: (must provide copy of all certification) *
High School Diploma
CDA
Associates Degree
Bachelors Degree
Graduate / Masters Degree
High School Attended and Year Graduated
*
College Degree(s) Earned or
Expected
Major:
Name of Institution:
Dates Attended:
College Course Work Completed (college
credits)
List Courses or Relevant Training (CPR,
first aid, child development, etc.)
List Other Skills: (office, clerical,
achievements & training in other fields)
Additional
Information:
What are your career goals and objectives:
*
Why do you think this child care center
should hire you: *
Define "professional conduct" and how it
applies to a child care center: *
Define "customer service" and how it
relates to a child care center: *
What do typical 2 year old classrooms look
like: *
Describe your position on guidance as it
relates to children arguing over a toy: *
What would your employer/former employer(s)
say your strengths & weaknesses are: *
What was your attendance record at your
previous job: *
Date & Signature: (to be completed at
interview)
* Required Free Contact
Form