Kid Kampus: Employment Application
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Email *
Full Name *
Email *
Phone *
Address *
Please select the position you are interested in: *
Would you prefer to work full-time or part-time? *
Are you over the age of 18? *
If NOT, can you legally work here? *
Have you ever been convicted of a crime? *
If you have been convicted of a crime, please explain:
Employment History
Name of Employer *
Employer Supervisor Name *
Employer Phone *
Start Date *
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End Date *
MM
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What was your reason for leaving? *
Please describe the work you did: *
Personal References

Please list two individuals that are able to provide information on your character and/or qualifications for a position at Kid Kampus. Please do not list family members.

Name 1 *
Name 2 *
Relation 1 *
Relation 2 *
Phone 1 *
Phone 2 *
Professional References

Please list two individuals that are able to provide information on your character and/or qualifications for a position at Kid Kampus. Please do not list family members.

Name 1 *
Name 2 *
Title/Position 1 *
Title/Position 2 *
Phone 1 *
Phone 2 *
Do you allow us to contact the references listed above?
*
Education
School Name *
Course of Study *
Last Year Completed *
Did you graduate? *
Please list any certifications you have received (CPR, First Aid, etc.), along with the expiration date.
On the lines below please explain why you entered or wish to enter the field of Child Care and/or Education and what you feel you have to offer the children enrolled at Kid Kampus.
Do you hereby confirm that all information provided on this application is true? I understand that the provision of false information is grounds for immediate dismissal. 
*
Required
Date *
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Signature (Full Name) *
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