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Application for Employment
Please Note:
This application must be completed in one sitting. Before your begin, be sure to have any materials and information ready and available.
General
*
Indicates required field
Name
*
First
Last
Phone Number
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Email
*
Are you 18 years of age or older?
*
Yes
No
Present Address
*
Line 1
Line 2
City
State
Zip Code
Country
Permanent Address (If differs from Present)
*
Line 1
Line 2
City
State
Zip Code
Country
Referred By
*
Preferences
Position Sought
*
Date You Can Start
*
Desired Salary
*
What ages do you prefer to work with?
*
Please select your location preference.
*
Belgium
Port Washington
Check all that apply.
Our Centers are open 5:30 am - 6:00 pm. What hours are you available to work?
*
Education
High School:
Name and Location
*
Years Attended
*
Did you graduate?
*
Yes
No
Subjects Studied
*
College or Higher Education:
Name and Location
*
Years Attended
*
Did you graduate?
*
Yes
No
Subjects Studied
*
Other Classes or Schools:
Name and Location
*
Years Attended
*
Did you graduate?
*
Yes
No
N/A
Subjects Studied
*
Please list any subjects of special study/research work or any special training/skills.
*
Have you heard of YoungStar?
*
Yes
No
Are you willing to take courses such as WMELS, curriculum planning, assessment/portfolios, etc. to become more updated on YoungStar standards?
*
Yes
No
Employment History
Are you currently employed?
*
Yes
No
If so, may we inquire of your current employer?
*
Yes
No
N/A
Please list your last four employers, starting with the most recent.
Employer 1
Employer Name
*
Phone Number
*
Dates of Employment
*
Example: May 2008 to Present
Salary
*
Reason for Leaving
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Employer 2
Employer Name
*
Phone Number
*
Dates of Employment
*
Example: June 2006 to May 2008
Salary
*
Reason for Leaving
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Employer 3
Employer Name
*
Phone Number
*
Dates of Employment
*
Example: June 2006 to May 2008
Salary
*
Reason for Leaving
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Employer 4
Employer Name
*
Phone Number
*
Dates of Employment
*
Example: June 2006 to May 2008
Salary
*
Reason for Leaving
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
References
List the names of three people, not related to you, whom you have known for at least one year.
Reference 1
Name
*
First
Last
Phone Number
*
Years Known
*
Occupation
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Reference 2
Name
*
First
Last
Phone Number
*
Years Known
*
Occupation
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Reference 3
Name
*
First
Last
Phone Number
*
Years Known
*
Occupation
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Supporting Documents
Please use this section to upload any supporting documents such as a resumé, references, or certifications. If upload does not work, or you have more than three, documents can be emailed to
laura@steppingstoneschildrens.com
Authorization
"By clicking the Submit button below, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also agree that no representative of the company has any authority to enter into agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."
Submit
