newemploymentapp by p4tPzt8

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									THE CHILD CENTER                                                                                     2420 W. 8TH ST, SIOUX FALLS, SD
 EMPLOYMENT APPLICATION                                                                              (605)332-9200



APPLICANT INFORMATION                                                                            TODAY'S DATE
Last Name                                                      First                                   M.I.          Date

Street Address                                                                                         Apartment/Unit #

City                                                           State                                   ZIP

Phone                                                          E-mail Address

Date Available                                   Social Security No.                              Desired Salary

Position Applied for        Head Teacher              Asst. Teacher          Afternoon Asst.            Other _________________

Are you a citizen of the United States?         YES          NO         If no, are you authorized to work in the U.S.?   YES      NO

Have you ever worked for this company?          YES          NO         If so, when?

Are you at least 18 years old?                  YES          NO

Have you ever been convicted of a felony?       YES          NO         If yes, explain

Are you willing to drive a Daycare Van (field trips, school pick-up, etc.)         YES           NO
EDUCATION
High School                                                  Address

From                   To            Did you graduate?       YES        NO          Degree

College                                                      Address

From                   To            Did you graduate?       YES        NO          Degree

Other                                                        Address

From                   To            Did you graduate?       YES        NO          Degree



REFERENCES
Please list three professional references.

Full Name                                                                       Relationship

Company                                                                         Phone     (      )

Address

Full Name                                                                       Relationship

Company                                                                         Phone     (      )

Address

Full Name                                                                       Relationship

Company                                                                         Phone     (      )

Address
     PREVIOUS EMPLOYMENT

     Company                                                                      Phone        (         )

     Address                                                                      Supervisor

     Job Title                                                  Starting Salary   $                          Ending Salary   $

     Responsibilities

     From                To                Reason for Leaving

     May we contact your previous supervisor for a reference?        YES          NO

     Company                                                                      Phone        (     )

     Address                                                                      Supervisor

     Job Title                                                  Starting Salary   $                          Ending Salary   $

     Responsibilities

     From                To                Reason for Leaving

     May we contact your previous supervisor for a reference?        YES          NO

     Company                                                                      Phone        (     )

     Address                                                                      Supervisor

     Job Title                                                  Starting Salary   $                          Ending Salary   $

     Responsibilities

     From                To                Reason for Leaving

     May we contact your previous supervisor for a reference?        YES          NO



     DISCLAIMER AND SIGNATURE
     I certify that my answers are true and complete to the best of my knowledge.
     If this application leads to employment, I understand that false or misleading information in my application or interview
     may result in my release.


     Signature                                                                                               Date



A little bit about us:

Starting wage is $7.25 per hour. Annual raises and raises upon promotion are available. Full time employees
that bring their children to the daycare receive free daycare services for one child and discounts on any
additional children. After one year of full time service you will receive one week paid vacation. After 2 years
you will receive 2 weeks of paid vacation time. Paid holidays for lead teachers and supervisors. No nights or
weekends! References are necessary as well as a criminal background check. The CHILD Center is a drug
free environment and employees are subject to random drug testing. All employees are required to be CPR
and First Aid certified (The CHILD Center provides and pays for the training).

								
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