Job Application Form

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Thank you for choosing Elite Kids Daycare & Early Learning Center, LLC. in your career path. We are an Equal Opportunity Employer. Visit our website: https://www.elitekidsdaycare.com

Email *

Name *

First and last name

Current Physical Address *

Email *

Phone number *

Date of Birth (must be 18 yrs or older) *

Which position(s) are you interested in? *

Check the position you are applying for

Director

Assistant Director

Pre-K Teacher

Cook/Kitchen

Required

Desired Employment Status *

Check your desired employment status

Full-Time

Part-Time

Floater (2 to 4 hours each day in the morning and afternoon)

On-Call (will call as needed-12hr to 24hr notice will be given to you by the director)

Temporary

Required

Desired Hours:

Morning Shift (6am-12pm)

Afternoons Shift (12pm-5pm)

Select the days and shifts you would like to work.

Monday (Morning Shift)

Monday (Afternoon Shift)

Tuesday (Morning Shift)

Tuesday (Evening Shift)

Wednesday (Morning Shift)

Wednesday (Afternoon Shift)

Thursday (Morning Shift)

Thursday (Afternoon Shift)

Friday (Morning Shift)

Friday (Afternoon Shift)

Other:

EMPLOYMENT HISTORY (begin with most recent) *

Start Date and End Date
Employer Name/Address
Supervisor Name and Phone Number
Reason for Leaving

OFFENSES – Criminal background checks will be conducted on all applicants.

Check all that may apply

Have you ever pled guilty, no contest or been convicted of any criminal offense?

Has a report of child maltreatment ever been made against you?

Has a court ever denied parental, custodial, or visitation rights as a result of neglect or abuse of a child?

Have you ever been the subject of disciplinary action or been responsible for a child care for a child care facility receiving and administrative or disciplinary action?

Not Applicable (N/A)

Education and Training *

Check all that may apply

High School Diploma or GED

CPR and First Aid

Vocational or Technical Training

Other:

Required

2 PERSONAL REFERENCES (do not list family or previous employers)

**Include name, contact number, relationship to you**

By your submitting this form, you understand that you are expressing your consent to the following. *

I hereby certify that all information contained in this application is true and correct. I understand that any misrepresentation, falsification, or consequential omission of information may render this application void, or if employed may result in immediate termination. I further consent and agree to submit to any job related medical exams or drug tests that might be required and agree to provide any information that may be needed to facilitate such tests. I authorize the individuals and institutions named above to give information regarding my employment, character, and qualification, hereby releasing them from all liability for issuing such information.

Yes

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