2.1: Application for Employment
- Page ID
- 40898
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\(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)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: