Employment Application
Main Office - 1917 Blackhawk Blvd South Beloit IL 61080 - (815) 713-4481

Please answer this form as honestly as possible as the information provided will be verified if given a job offer.

We look forward to meeting with you!

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Full Name *
Home Address (street city, state zip) *
Phone Number *
Email Address *
How did you hear about us? *
Which CTW location are you applying at? *
If needed, are you able to work at both South Beloit and Janesville locations? *
Are you legally eligible for employment in the US? *
Education level - current or previous (check all that apply) *
Required
Please describe your past experience working with children and families. *
Do you have competitive swimming experience? *
In the field below, please describe your work history and be sure to include the following for each item listed:

1. Name of the company
2. Date started, date left
3. Supervisors name and number
Please describe your work history. *
Work Availability 
In the field below, please describe your weekday availability. We are open:

Monday: 3:00pm - 7:30pm
Tuesday: 8:00am - 11:30am, 3:00pm - 7:30pm
Wednesday: 8:00am - 11:30am, 3:00pm - 7:30pm
Thursday: 3:00pm - 7:30pm
Friday: Closed
Saturday: 8:00am - 12:30pm
Sunday: 8:00am - 12:30pm
Please select all the following shifts you are able to work (having availability for a shift does not guarantee it):  *
Required
Are you able to start at 3:30pm (instead of 4:00pm) on weekdays? *
Have you ever been convicted of a felony or any misdemeanor involving domestic violence or child endangerment? *
Are you fluent in Spanish? *
Do you have any experience working with special needs children? *
Anything else you would like us to know? (optional):
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