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Employment Application
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Employment Application
Name including previous Last Name (if any)
*
Your answer
Address
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Your answer
Email
*
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Lived outside Mn in the last 5 years
*
Yes
Where?
No
Do you have children?
*
Yes
No
Phone number
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Your answer
Days and times you are available to work
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Monday
Tuesday
Wednesday
Thursday
Friday
Required
Preferred amount of hours
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0-10
10-25
25-32
32-40
Required
Expected Wage requirements per hour?
Your answer
I give permission to submit a background check if given a job offer
*
Yes
No
School Grade Level Completed
*
Your answer
Any post secondary education (CDA)Please include degree or area of study.
*
Your answer
What other relevant training do you have?
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Your answer
Tell me about why you would like to be a caregiver with us?
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Your answer
List 3 non related references name and phone number that can be contacted
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Your answer
Previous Employer including phone number
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Your answer
Dates of employment at previous employer
*
Your answer
Reason for leaving?
*
Your answer
Tell me about your relevant work experience in licensed childcare, school or licensed home daycare
*
Your answer
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