- My Next Generation Childcare & Learning Center

Next Generation: Employment Application

- Step 1 of 5

Layout

Position Applying For *

Which Center are you applying to? *

Your Details

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date *

Layout

Phone *

Phone

Email *

Layout

Hours Available *

Full Time
Part Time
Temporary

Will you undergo a physical before starting your job duties? *

Have you filled out an application at our company before? *

If YES, Give Dates & Location:

Have you ever been convicted of a MISDEMEANOR or FELONY in the last seven years? *

Such a conviction may be relevant if job related, but does not bar you from employment. If YES, PLEASE EXPLAIN:

Would you object to a criminal check? *

If YES, PLEASE EXPLAIN:

Date Available For Work *

Will you work overtime if required? *

REFERENCES

Layout

Name *

First

Last

Relationship *

Phone (Home) *

Phone (Work)

Layout (copy)

Name *

First

Last

Relationship *

Phone (Home) *

Phone (Work)

Layout (copy) (copy)

Name *

First

Last

Relationship *

Phone (Home) *

Phone (Work)

EMPLOYMENT HISTORY

Layout

Employer: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

May we contact for a reference? *

What were the expected job responsibilities? *

Phone *

Supervisor *

Reason for leaving: *

Job Title *

Rate of Pay:

Dates Employed: *

First

Last

Layout (copy)

Employer: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

May we contact for a reference? *

What were the expected job responsibilities? *

Phone *

Supervisor *

Reason for leaving: *

Job Title *

Rate of Pay:

Dates Employed: *

First

Last

Layout (copy) (copy)

Employer: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

May we contact for a reference? *

What were the expected job responsibilities? *

Phone *

Supervisor *

Reason for leaving: *

Job Title *

Rate of Pay:

Dates Employed: *

First

Last

Layout

Please add any further childcare employment and/or explain any gaps in employment:

Education

List the last three (3) schools attended, starting with the most recent. List number of years completed. Indicate degree or diploma earned, if any.

Layout

School *

# Years Attended

Degree

Graduation Date *

Layout (copy)

School

# Years Attended

Degree

Graduation Date *

Layout (copy) (copy)

School

# Years Attended

Degree

Graduation Date *

Do you have a High School Diploma or Equivalent? *

Skills & Qualifications

Summarize special skills, trainings, and qualifications acquired from employment or other experiences that may qualify you for work.

List any volunteer activities or additional information you would like us to consider.

Applicant Agreement

This employer is an equal opportunity employer. We consider applications for all positions without regard to race, color, religion. sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.

It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or seperation from the employer's service if i have been employed. I give the Employer the right to investigate all references and to secure additional information about me, if job related. I give the Employer permission to release information about my employment to any agency that may need informationregarding my employment. I hereby release from liability the Employer and it's representatives for seeking such information and all other persons, corporations, or organizations for furnishingsuch information.

Signature of Applicant *

By signing this electronically or otherwise you agree to all of the terms listed above.

Resume *

Click or drag a file to this area to upload.

- Step 1 of 5

Layout

Position Applying For *

Which Center are you applying to? *

Your Details

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date *

Layout

Phone *

Phone

Email *

Layout

Hours Available *

Full Time
Part Time
Temporary

Will you undergo a physical before starting your job duties? *

Have you filled out an application at our company before? *

If YES, Give Dates & Location:

Have you ever been convicted of a MISDEMEANOR or FELONY in the last seven years? *

Such a conviction may be relevant if job related, but does not bar you from employment. If YES, PLEASE EXPLAIN:

Would you object to a criminal check? *

If YES, PLEASE EXPLAIN:

Date Available For Work *

Will you work overtime if required? *

REFERENCES

Layout

Name *

First

Last

Relationship *

Phone (Home) *

Phone (Work)

Layout (copy)

Name *

First

Last

Relationship *

Phone (Home) *

Phone (Work)

Layout (copy) (copy)

Name *

First

Last

Relationship *

Phone (Home) *

Phone (Work)

EMPLOYMENT HISTORY

Layout

Employer: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

May we contact for a reference? *

What were the expected job responsibilities? *

Phone *

Supervisor *

Reason for leaving: *

Job Title *

Rate of Pay:

Dates Employed: *

First

Last

Layout (copy)

Employer: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

May we contact for a reference? *

What were the expected job responsibilities? *

Phone *

Supervisor *

Reason for leaving: *

Job Title *

Rate of Pay:

Dates Employed: *

First

Last

Layout (copy) (copy)

Employer: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

May we contact for a reference? *

What were the expected job responsibilities? *

Phone *

Supervisor *

Reason for leaving: *

Job Title *

Rate of Pay:

Dates Employed: *

First

Last

Layout

Please add any further childcare employment and/or explain any gaps in employment:

Education

List the last three (3) schools attended, starting with the most recent. List number of years completed. Indicate degree or diploma earned, if any.

Layout

School *

# Years Attended

Degree

Graduation Date *

Layout (copy)

School

# Years Attended

Degree

Graduation Date *

Layout (copy) (copy)

School

# Years Attended

Degree

Graduation Date *

Do you have a High School Diploma or Equivalent? *

Skills & Qualifications

Summarize special skills, trainings, and qualifications acquired from employment or other experiences that may qualify you for work.

List any volunteer activities or additional information you would like us to consider.

Applicant Agreement

This employer is an equal opportunity employer. We consider applications for all positions without regard to race, color, religion. sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.

It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or seperation from the employer's service if i have been employed. I give the Employer the right to investigate all references and to secure additional information about me, if job related. I give the Employer permission to release information about my employment to any agency that may need informationregarding my employment. I hereby release from liability the Employer and it's representatives for seeking such information and all other persons, corporations, or organizations for furnishingsuch information.

Signature of Applicant *

By signing this electronically or otherwise you agree to all of the terms listed above.

Resume *

Click or drag a file to this area to upload.