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Employment Application

The Kids Castle/Castle Academy

Application for Staff Position


PERSONAL



Date:  ________________                          


Name: _________________________________________________________


Social Security Number: ________________________________________


Address:  ______________________________________________________


City:  ________________________ State: _______ Zip Code: ___________


Email Address: _________________________________________________


Home Phone Number: __________________________________________


Cell Phone Number: ____________________________________________


If hired, can you show proof of age?  _____________________________


Why are you applying for this job? ______________________________


When could you begin work?  ___________________________________                 


What hours could you work?  ___________________________________


Which age group of children do you prefer to work with?  _________



EDUCATION (please attach resume and letters of reference as available)



Name/location         From        To        Major Subjects        Diploma/

of Institution                                                                                Degree


________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Early Childhood

Continuing Education             (please continue on another page if you’d like)


________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



WORK HISTORY (start with most recent employer)



Employer: _____________________________________________________


Supervisor: ____________________________________________________


Address:  ______________________________________________________


Phone Number:  ________________________________________________


Kind of business:  ______________________________________________


Your job position:  ______________________________________________


Dates employed:  _______________________________________________


Duties:  ________________________________________________________


________________________________________________________________


________________________________________________________________


May we contact employer to verify information?  ________________



Employer: _____________________________________________________


Supervisor: ____________________________________________________


Address:  ______________________________________________________


Phone Number:  ________________________________________________


Kind of business:  ______________________________________________


Your job position:  ______________________________________________


Dates employed:  _______________________________________________


Duties:  ________________________________________________________


________________________________________________________________


________________________________________________________________


May we contact employer to verify information?  ________________




Employer: _____________________________________________________


Supervisor: ____________________________________________________


Address:  ______________________________________________________


Phone Number:  ________________________________________________


Kind of business:  ______________________________________________


Your job position:  ______________________________________________


Dates employed:  _______________________________________________


Duties:  ________________________________________________________


________________________________________________________________


________________________________________________________________


May we contact employer to verify information?  ________________




GENERAL



What qualities do you possess that would make you an asset to this program?


________________________________________________________________

________________________________________________________________


________________________________________________________________


Have you ever been discharged or asked to resign from any position?  ______________________________________________________


If yes, please explain:  __________________________________________


Have you ever been convicted of a felony?  _______________________


Work Status: U.S. Citizen ______________  Other  __________________


Please describe your previous work experience with children.


What you liked, didn’t like and why?


________________________________________________________________


________________________________________________________________


________________________________________________________________


________________________________________________________________


What are your professional goals in the next 3 to 5 years?


________________________________________________________________


________________________________________________________________


________________________________________________________________



If the information I have provided you is incorrect or untrue, I understand it may be grounds for denial or termination of employment.


Name:  ____________________________        Date:  ___________________

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