Employment Application

Personal Information

Full Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Date of Birth(Required)

Social Security Number

(Optional for pre-employment; request only if necessary for background checks)

Position Information

Position Applied For(Required)

Availability(Required)

Start Date(Required)

Desired Salary/Hourly Rate(Required)

Are you legally authorized to work in the U.S.?(Required)

Have you ever worked with children before?(Required)

How did you hear about this position?(Required)

Education

Highest Level of Education Completed(Required)

School Name(Required)

Area of Study/Major(Required)

Graduation Date (Optional)

Work Experience

List your last 3 jobs

1st Employer's Name

1st Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1st Job Title

1st Job Employment Date Start

1st Job Employment Date End

1st Job Responsibilities

1st Job Supervisor Name and Contact Information

1st Job Reason for Leaving

2nd Employer's Name

2nd Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2nd Job Title

2nd Job Employment Date Start

2nd Job Employment Date End

2nd Job Responsibilities

2nd Job Supervisor Name and Contact Information

2nd Job Reason for Leaving

3rd Employer's Name

3rd Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

3rd Job Title

3rd Job Employment Date Start

3rd Job Employment Date End

3rd Job Responsibilities

3rd Job Supervisor Name and Contact Information

3rd Job Reason for Leaving

Certifications and Training

Certifications and Training(Required)

CPR/First Aid Certification Expiration Date(Required)

CDA Credential or Equivalent(Required)

List Other Certifications

Upload Certificates

Drop files here or

Max. file size: 256 MB, Max. files: 10.

References

1st Reference Name(Required)

1st Reference Relationship to Applicant(Required)

1st Reference Company/Organization(Required)

1st Reference Phone Number(Required)

1st Reference Email Address(Required)

2nd Reference Name(Required)

2nd Reference Relationship to Applicant(Required)

2nd Reference Company/Organization(Required)

2nd Reference Phone Number(Required)

2nd Reference Email Address(Required)

3rd Reference Name(Required)

3rd Reference Relationship to Applicant(Required)

3rd Reference Company/Organization(Required)

3rd Reference Phone Number(Required)

3rd Reference Email Address(Required)

Background and Disclosures

Are you willing to submit to a drug test?(Required)

Are you willing to undergo a background check?(Required)

Additional Information

What strengths would you bring to our team?(Required)

Why are you interested in working with children?(Required)

Days and Hours Available to Work(Required)

Any Physical Limitations?

Attachments

Resume(Required)

Drop files here or

Max. file size: 256 MB.

Cover Letter (optional)

Drop files here or

Max. file size: 256 MB.

Proof of Certifications/Training

Drop files here or

Max. file size: 256 MB.

References or Letters of Recommendation (optional)

Drop files here or

Max. file size: 256 MB.

Legal Acknowledgements

Signature

Today's Date

Personal Information

Position Information

Education

Work Experience

Certifications and Training

References

Background and Disclosures

Additional Information

Attachments

Legal Acknowledgements

Learning Ladder Academy

Support

Location