Contact Information

Email

Eligibility

If you answered yes to the previous question, explain below:

Education

Field of Study:

What year did you graduate?

List the name and address of the school, university, or institution:

Employment History

Tell us about your most recent employment history by providing information in this order. Please list your most recent job first and work backwards from there.

1) The employer's name 2) Dates of employment (from x-y) 3) Job title 4) Supervisor's name 5) Employer's address 6) Employer's phone number 7) Reason for leaving 8) Brief description of your job duties and responsibilities

Most Recent:

2nd Most Recent:

3rd Most Recent:

References

Please list two professional references by providing information in this order. References may not be related to you and must have worked with you more than one year.

1) Name 2) Phone Number 3) Professional Relationship 4) Years Acquainted 5) Address

Reference #1

Reference #2

Application Agreement

Please read the following statements and check the box to indicate your consent. I certify that the above information is true and correct and give authorization for investigation of all statements and information contained in this application, my resume, other documents or verbally obtained during an employment interview. I voluntarily consent to allow Carter and Company Childcare Center to check my references by contacting any persons, company or governmental entity they deem to be an appropriate reference. I understand the reference questions may pertain to my personal or educational background, work experience, character and behavior. I understand my employment is subject to satisfactory verification of this information and agree that deliberate falsification of this document or significant omissions shall be grounds for employment consideration disqualification or dismissal from employment, if discovered at a later date. I pledge, if hired, to comply with the guidelines of conduct and company policies and procedures of Carter and Company Childcare Center. I also realize that company policies, procedures, practices or statements made during an interview or employment do not create an employment contract by implication or otherwise. I further understand and agree that my employment is for no definite period of time and may, regardless of time and manner be terminated by the company or myself with or without cause or previous notice. I understand that employment may be subject to satisfactory completion of a physical examination and/or drug screening by a physician. This application will be kept in a current file for thirty days. If not contacted during that period of time, it may be necessary to complete another application to receive further employment consideration.

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