Job Application Form | DJ’s Christian Daycare/Preschool

Please fill in the form below with accurate information:

Last

First

Middle

Address

Phone

Social Security Number

Date Of Birth

Availibility

Full Time

Part Time

Hours

Date Available

Have you worked for DJ's? (If so, when and which location)

How did you learn about us?

Have you worked in a Daycare Center?

Yes

Are you available for overtime?

Yes

Have you had First Aid training?

Yes

Have you had CPR training?

Yes

Have you had a TB test?

Yes

Have you had an FBI fingerprint test?

Yes

Have you been convicted of a crime?

Yes

If yes, please explain, a conviction will not automatically bar employment.

Education

High School

Name

Location

Years Completed

Course Of Study

Degree/Diploma

College

Name

Location

Years Completed

Course Of Study

Degree/Diploma

Post-College

Name

Location

Years Completed

Course Of Study

Degree/Diploma

Technical Training

Name

Location

Years Completed

Course Of Study

Degree/Diploma

Other

Summarize any job related training, skills, licenses, certificates, and/or other qualifications:

I hereby authorize the potential employer to contact, obtain and verify the accuracy of information contained in the application from all previous employers, educational institutions, and references, I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other organizations for providing such information. I understand that any omission or erroneous information is grounds for dismissal in accordance with the policies of DI's Christian Daycare/Preschool.

I Agree

Employment History: List all employment, including reasons for periods of unemployment, for the past five years. Please include any relevant child care experience, as an employee or volunteer, even if it was earlier than five years ago.

Employment 1

Employer

Address

Phone

Position Held

Supervisor and Title

Employment Duration

From

Job Summary

Reason for Leaving

Employment 2

Employer

Address

Phone

Position Held

Supervisor and Title

Employment Duration

From

Job Summary

Reason for Leaving

Employment 3

Employer

Address

Phone

Position Held

Supervisor and Title

Employment Duration

From

Job Summary

Reason for Leaving

Employment 4

Employer

Address

Phone

Position Held

Supervisor and Title

Employment Duration

From

Job Summary

Reason for Leaving

Application for Employment

Your resume has been submitted. Thank You!