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2.1: Application for Employment

  • Page ID
    40898
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    Early Childhood Program Employment Application

     

    Applicant Information

    Full Name:

    First:

     Middle:

     Last:

    Address:

    Street:

    City:

    State: 

    ZIP:
     

    Phone Number: 

    Email Address: 

    Preferred Contact Method (Phone/Email): 

     

    Position Information

    Position(s) Applied For (e.g., Teacher, Assistant, Support Staff): 

    Desired Start Date: 

    Full-Time or Part-Time: 

     

    Education

    Highest Level of Education Completed:
    ❏ High School Diploma or Equivalent
    ❏ Associate’s Degree
    ❏ Bachelor’s Degree
    ❏ Master’s Degree
    ❏ Other: 

    Field of Study: 

     

    Experience

    Do you have previous experience in early childhood education?
    ❏ Yes ❏ No

    If yes, please list previous employment related to early childhood education below:

    Organization Name: 

    Position Held: 

    Dates of Employment: 

    Key Responsibilities: 

     

    Relevant Certifications, Permits, or Licenses

    (e.g., Child Development Associate, First Aid/CPR): 

     

    Skills and Qualifications

    Please list any additional skills, training, or qualifications relevant to working in an early childhood education setting:

     

    Availability

    ❏ Mondays ❏ Tuesdays ❏ Wednesdays ❏ Thursdays ❏ Fridays ❏ Weekends
    ❏ Mornings ❏ Afternoons ❏ Evenings

    Notes: 

     

    References

    Please provide at least two professional references.

    Name: 

    Relationship: 

    Phone/Email: 

     

    Name: 

    Relationship: 

    Phone/Email: 

     

    Relatives

    Are you related to anyone who currently works for our program? 

     

    Background Check

    Are you willing to undergo a background check, in accordance with local and state regulations, if required for employment?
    ❏ Yes ❏ No

     

    Applicant Signature

    I certify that the information provided is true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

    Signature: 

    Date: 

     

    Applicant’s Certification and Agreement

    Accuracy of Information:
    I certify that the information provided in this application, and any supporting documents submitted, is true, accurate, and complete to the best of my knowledge. I understand that any false or misleading statements or deliberate omissions may result in the rejection of my application or, if employed, may be grounds for dismissal.

    Authorization for Verification:
    I authorize the employer to verify any information I have provided in this application, including, but not limited to, my employment history, education, and references. I understand that this may involve contacting my previous employers, educational institutions, and personal/professional references, and I release all parties involved from any liability arising from the release of such information.

    Printed Name: 

    Signature of Applicant: 

    Date: 


    2.1: Application for Employment is shared under a CC BY-NC 4.0 license and was authored, remixed, and/or curated by LibreTexts.

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