CommuniKids Employment Application

CommuniKids is committed to employing only United States citizens and aliens who are authorized to work in the United States.

Are you authorized to work in the United States?*

Yes
No

In compliance with the Immigration Reform and Control Act of 1986, as amended, each new employee, as a condition of employment, must complete the Employment Eligibility Form I-9 and present documentation establishing identity and employment eligibility. Former employees who are rehired must also complete the form if they have not completed an I-9 within the past three years, or if their previous I-9 is no longer retained or valid.

Will you now or in the future require CommuniKids Preschool LLC to commence ("sponsor") an immigration case in order to employ you (for example, H-1B or other employment-based immigration case)? This is sometimes called "sponsorship" for an employment-based visa status.*

Yes
No

I have read and understood the above statement and questions (Please initial):*

Today's Date*

Part 1: Personal Information

Position:*

Date Available:*

Please check all that apply:*

Full Time
Part Time
Temporary

Salary Requirement:

How were you referred to us?

Date of Review

Name*

First Middle Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Primary Phone*

Second Phone

Email*

Are you 18 years or older?*

Yes
No

Do you have any medical condition(s) that may interfere with your fulfilling the responsibilities of the position for which you are applying?*

Yes
No

If so, please explain:

Have you ever been convicted of a felony, barrier crime, or subject of a founded Child Protective Service complaint?*

Yes
No

Employment requires Criminal Background Clearances. Is this acceptable to you?*

Yes
No

In case of emergency, please notify:

Name*

Relationship*

Phone*

Part 2: Education and Experience

Name and location of high school:*

Dates attended:*

Date of graduation or GED:*

Name and location of college / university:*

Dates attended:*

Number of years completed:*

Degree earned:*

Do you hold a CDA (Child Development Associate's Credential)?*

Yes
No

If so, for what age group?:

Infant/Toddler
Preschool

When does it expire?

Please list any certifications you hold that might be relevant to the position, including, but not limited to, CPR / First Aid, Medication Administration Training, Food Handler's License, etc.

Professional Experience

Please begin with the current or most recent employment (including military experience)

Position:

During which years? (Dates)

Employer:

Full Time
Part Time
Temporary

Address:

Phone

Job Duties and Responsibilities:

Immediate Supervisor:

Salary:

During which years? (Dates)

Reason for Leaving:

Position:

During which years? (Dates)

Employer:

Full Time
Part Time
Temporary

Address:

Phone

Job Duties and Responsibilities:

Immediate Supervisor:

Salary:

During which years? (Dates)

Reason for Leaving:

Position:

During which years? (Dates)

Employer:

Full Time
Part Time
Temporary

Address:

Phone

Job Duties and Responsibilities:

Immediate Supervisor:

Salary:

During which years? (Dates)

Reason for Leaving:

Please describe any volunteer work or other experience related to child care:

Part 3: References

Please list three (3) references of current or former supervisors that are not related to you by blood or marriage who can comment on your education or work experience.

Full Name

Relationship

Phone

Email

Company

Address

Full Name

Relationship

Phone

Email

Company

Address

Full Name

Relationship

Phone

Email

Company

Address

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for employment decision.

I hereby release employers, schools, or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Initials*

Today's Date*

Cover Letter

Max. file size: 512 MB.

Resume*

Max. file size: 512 MB.

CommuniKids Employment Application

CommuniKids is committed to employing only United States citizens and aliens who are authorized to work in the United States.

Part 1: Personal Information

In case of emergency, please notify:

Part 2: Education and Experience

Professional Experience

Part 3: References

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for employment decision.

I hereby release employers, schools, or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

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