Preschool Employment Application
Thank you for your interest in applying to be part of our Preschool Team! Please carefully complete this application.
We look forward to getting to know you!
Personal Information
First Name
Last Name
Birthdate
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Email
Phone Number
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Which position are you applying for?
Lead Teacher
Teacher Aide
Are you legally authorized to work in the United States?
Yes
No
Have you ever been convicted of a felony or misdemeanor?
Yes
No
If you answered yes to conviction of a felony or misdemeanor, please explain.
How many years of experience do you have in early childhood education?
Why are you applying for this position?
Faith Background
Are you a committed follower of Jesus? Are you able to share a testimony concerning your faith in Jesus?
Are you in agreement with statement of faith? Are you able in good conscience, to promote the Christian faith in your personal and public life?
What church are you currently attending? How long have you been in attendance?
Childcare Experience
Do you have experience working with children ages 0-5? If so, please list how many years of experience, as well as describe your experience.
Do you have any formal training in early childhood education? If so, please describe.
Are you CPR/First Aid Certified?
Yes
No
Education & Employment History
Please complete the following fields, as necessary, for education and employment history. If you have already submitted your resume with this information you may leave these fields blank and move on to references.
Education History (Most Recent First)
School Name, Location, Degree/Diploma, Major, Dates Attended
School Name, Location, Degree/Diploma, Major, Dates Attended
School Name, Location, Degree/Diploma, Major, Dates Attended
Employment History (Most Recent First)
Employer Name, Location, Position Title, Dates Employed, Reason for leaving
Employer Name, Location, Position Title, Dates Employed, Reason for leaving
Employer Name, Location, Position Title, Dates Employed, Reason for leaving
References
Please include two professional and one character reference.
1st Professional Reference: Please include their name, your relationship to the reference, their phone number, and email address.
2nd Professional Reference: Please include their name, your relationship to the reference, their phone number, and email address.
Character Reference: Please include their name, your relationship to the reference, their phone number, and email address.
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