CommuniKids Employment Application Please read the following statement and answer the questions below before you fill out the enclosed job 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*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Part 1: Personal InformationPosition:* Date Available:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please check all that apply:* Full Time Part Time Temporary Salary Requirement: How were you referred to us?Date of ReviewMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Name* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code Primary Phone*Second PhoneEmail* 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 ExperienceName 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 ExperiencePlease begin with the current or most recent employment (including military experience)Position: During which years? (Dates) Employer: Full Time Part Time Temporary Address: PhoneJob 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: PhoneJob 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: PhoneJob 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: ReferencesPlease 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 PhoneEmail Company Address Full Name Relationship PhoneEmail Company Address Full Name Relationship PhoneEmail 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*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Cover LetterMax. file size: 50 MB.Resume*Max. file size: 50 MB.