Employment Application

Please complete the application below. Qualified candidates will be contacted for next steps.

Basic Information

First name

Last name

Email

Phone

Address

Position Information

Position Applying For

Employment Type

Full-Time

Part-Time

Availability (Optional)

7:30 AM – 4:30 PM

8:30 AM – 5:30 PM

Open to Either Shift

Preferred Work Days (Monday–Friday, etc.)

Screening Questions

Are you legally authorized to work in the United States?

Yes

No

Are you able to pass a Level 2 background screening?

Yes

No

Have you ever been convicted of a crime?

Yes

No

If yes, please explain

Have you completed DCF 45 hours?

Yes

No

In Progress

Do you have CPR and First Aid certification?

Yes

No

Do you have prior childcare experience?

Yes

No

WORK EXPERIENCE

Upload Resume

Most Recent Employer

Position Held

Dates of Employment

Reason for Leaving

REFERENCES

Reference 1 Full Name

Reference 1 Phone Number

Reference 1 Relationship

Reference 2 Full Name

Reference 2 Phone Number

Reference 2 Relationship

ACKNOWLEDGMENT & SIGNATURE

I certify that all information provided is true and complete to the best of my knowledge, and I understand that employment is subject to verification and background screening.

Full Name (Signature)

Date

Month

Day

Year