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Childcare Employment Applications document sample
Childcare Employment Applications document sample
Campus Crusade for Christ International Application for Employment Dear Applicant: This application is specific for summer employment in Fort Collins, Colorado as a childcare worker at Colorado Kids’ Camp, a licensed childcare center open to the children of Campus Crusade for Christ staff attending various Campus Crusade conferences and trainings. Since you have expressed a desire to work with us, we would like to share with you something about the purpose and work of Campus Crusade for Christ International. Campus Crusade for Christ is an interdenominational organization whose primary purpose is to present the message of Jesus Christ to people of all walks of life in every country in the world. We believe that Jesus Christ is the one person who can change a person from within – who can give meaning, purpose, and direction in life. In order to accomplish such a ministry, we have people working in many different capacitates such as computer programmers, office administrators, managers, accountants, receptionists, clerks, electricians, custodians, housekeepers, and childcare workers. Campus Crusade for Christ is an equal opportunity employer and abides by Title 7 of the Civil Rights Act of 1964 and subsequent laws which have amended it. We will consider qualified applicants for a specific position without discrimination because of race, color, sex, national origin, marital status, age or handicap. We also comply with the Americans with Disabilities Act of 1990. Please send your completed application to: CSU Childcare, 100 Lake Hart Drive, MC 2100, Orlando, FL 32832 no later than May 1st, 2009. Thank you for considering Campus Crusade for Christ as a place to use the skills, knowledge and abilities that God has given you. The Colorado Kids’ Camp Leadership Team Please type or print the answers to the following questions: PERSONAL INFORMATION Today’s Date ___________________ Date of Birth ______________________________ Name ______________________________________ Email Address ___________________________________ Home phone ________________________________ Alternate Phone__________________________________ Mailing Address ________________________________________________________________________ ________________________________________________________________________ Permanent Address ______________________________________________________________________ ______________________________________________________________________ Are you legally eligible for work in the United States? _________ Social Security Number ___________________ Position Desired ________________________________________________________________________ May we consider you for a position other than the one for which you applied? _________ Date available to start ____________________ Have you ever been employed with us? ________ When? ________________________ If yes, what was your position when you were employed by us? ___________________________________ BACKGROUND INFORMATION Have you ever been convicted of a felony or a first degree misdemeanor? ____________ If yes, what charges? _____________________________________________________________________ Where convicted? ___________________________________ Date of Conviction: ___________________ Have you ever pled Nolo Contendere or pled guilty to a crime which is a felony or a first degree misdemeanor? _________________ If yes, what charges? _____________________________________________________________________ Where? _____________________________________________Date: _____________________________ Have you ever had the adjudication of guilt withheld for a crime which is a felony or a first degree misdemeanor? ___________________ If yes, what charges? _____________________________________________________________________ Where? ______________________________________________ Date: ____________________________ Note: A “Yes” answer to these questions will not automatically bar you from employment. The nature, job relatedness, severity and date of the offense in relation to the position for which you are applying are considered. EMPLOYMENT HISTORY (Please fill out Employment History in its entirety even if your resume is included.) List your present or most recent employer first and work backward. Please give accurate, complete, full-time and part-time employment information. If you do not possess all this information, we strongly encourage you to obtain it for your application materials. Incomplete information may delay or disqualify your application for employment. MOST RECENT Employer _______________________________________Phone _________________________________ Address _______________________________________________________________________________ ______________________________________________________________________________________ Employed from: ______________________ To: ______________________________________________ Supervisor’s name _________________________________ Title _________________________________ Position(s) held _________________________________________________________________________ Duties ________________________________________________________________________________ ______________________________________________________________________________________ Starting pay rate $____________ Final pay rate $ ______________ Reason for leaving ______________________________________________________________________ PREVIOUS #1 Employer ________________________________________ Phone ________________________________ Address _______________________________________________________________________________ ______________________________________________________________________________________ Employed from: _______________________ To: _____________________________________________ Supervisor’s name ______________________________ Title ____________________________________ Position(s) held _________________________________________________________________________ Duties ________________________________________________________________________________ ______________________________________________________________________________________ Starting pay rate $____________ Final pay rate $ ______________ Reason for leaving ______________________________________________________________________ PREVIOUS #2 Employer _________________________________________ Phone _______________________________ Address _______________________________________________________________________________ ______________________________________________________________________________________ Employed from: ______________________ To:_______________________________________________ Supervisor’s name _______________________________ Title ___________________________________ Position(s) held _________________________________________________________________________ Duties ________________________________________________________________________________ ______________________________________________________________________________________ Starting pay rate $____________ Final pay rate $ ______________ Reason for leaving ________________________________________________________ Are there any previous employers you do not wish us to contact regarding your employment history with them? If so, please state who and the reasons why: ____________________________________________________________________________________________ EDUCATION AND TRAINING Please complete the following section carefully providing all requested transcripts, teacher certification (if applicable) and other documentation. The State of Colorado requires that you document your qualifications. Your application will be considered incomplete and/or you will receive minimum wage for failure to do so. Circle the highest grade which you have completed: High School: 9 10 11 12 College 1 2 3 4 5 Have you graduated from a two or four year college or university? ________________ If yes, please attach a copy of your diploma or an official transcript. Graduation Year: ______________ Degree: __________________ Major __________________________ If you have taken college level courses in Child Development or Early Childhood Education, please describe below: Course Title(s) School Name Credits Earned ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Other Training, certifications or classes taken: (Examples: first aid, CPR, teacher certification, RN, LPN, EMT, etc. Please attach documentation.) _____________________________________________________________________________________________ EMPLOYMENT DESIRED Which ages of children do you work with best? (rank from 1-7) ______ Infants ______ 1st & 2nd grade ______ Toddlers ______ 3rd & 4th grade ______ Preschool ______ 5th & 6th grade ______ Kindergarten WORK EXPERIENCE WITH CHILDREN List any experience you have in working with children. List all work either paid or unpaid, including dates. For example, Sunday School, teaching preschool, summer camp, daycare, nanny, etc. Please attach additional sheets if needed. Infant/Toddler Experience: Preschool Experience: Lower Elementary Experience: Upper Elementary Experience: In addition to anything you have already listed, do you have any special skills or abilities that would be valuable in working with children? (example: music, dance, art, illusion, juggling, clowning, etc.) PERSONAL RELATIONSHIP WITH JESUS CHRIST Because of the unique nature and purpose of Campus Crusade for Christ, all employees are required to be involved in departmental Bible study, ministry training, prayer and worship experiences as part of their job description. In light of this, the following information is requested as a bona fide occupational qualification. Please attach a brief statement of your personal relationship with Jesus Christ and how it began. Church presently attending ________________________________________________________________ City _______________________________ Senior Pastor _______________________________________ What is your present level of church involvement? _____________________________________________ ______________________________________________________________________________________ REFERENCES Three written references are required for each applicant. Those completing reference forms must be over 18 years of age and not related to you. Submit one written reference from each of the following categories: • Pastor, Campus Crusade Staff Member or other adult who can comment on your personal maturity and character. • Former employer: if you do not have a former employer, choose another person from #1 above. • Any other person of your choice. Note: Please give one form to each of these people and have them return it to CSU Childcare, 100 Lake Hart Drive, MC 2100, Orlando, FL 32832 no later than May 1st, 2009. COPY OF COLLEGE TRANSCRIPTS (downloaded off the web is acceptable) and TEACHER CERTIFICATION (if applicable) OTHER DOCUMENTATION NEED UPON ACCEPTANCE TO WORK CHILDCARE The following is required for each applicant. When submitted, this will complete the application process. Please refer to the Checklist for CSU Childcare Worker Application for further details. • CCC 2009 Summer Childcare Program Employee Health Review Certificate • Proof of Immunizations and a current TB test • Identification Originals (required proving work eligibility in the U.S.) Questions about any part of this application can be sent to firstname.lastname@example.org. PERJURY RULES AFFADAVIT “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.” Applicant’s signature _______________________________________________________Date ________________ IN CONCLUSION: We would like to advise you that we may conduct routine inquiries during the processing of this application that will provide us with pertinent information concerning your work abilities, character, general reputation and mode of living. By my signature below, I authorize each employer and reference that I have listed to release any and all information in his/her file and possession that would be pertinent to my qualifications for the position for which I have applied with Campus Crusade for Christ, unless otherwise noted here. I also declare by my signature below that the statement and information I have provided on this application are true and accurate to the best of my knowledge and belief. I understand that any intentional omission or misstatement of fact on this application will be sufficient cause for refusal to employ and//or cause for discharge. Applicant’s signature _______________________________________________________Date ________________ Colorado State Law requires that you have a Physical Examination within one year to your first day of work. Please complete this before arrival. We will also be conducting background checks on every applicant who is hired. Fingerprint cards will be completed after arrival.
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