When you can't be mom 24 hours a day Almost Mom is here!

Job Application

Teacher Job Description

Desired Start Date:
Personal Information
Name:
First: Last:
Home Address:
Home Phone Number:
Mobile Phone Number:
Email Address:
Position Desired
Title:
Desired Salary per hour $:
Schedule
  Mon Tue Wed Thu Fri
Start time
End time
Work Eligibilty
List Handicaps, Health problems or prior work injuries that should be considered in job placement:
Have you ever been convicted of or pleaded no contest to a felony with the last five years?:
Yes No
Education
High School:
Last year completed:
Graduated?:
Yes No
College:
Major:
Graduated?:
Yes No
Skills & Qualifications: Licenses, Skills, Awards realted to job postion:
Are you certified in infant and child CPR?:
Yes No
Do you have a drivers license?:
Yes No
Have you worked for a day care before?:
Yes No
Employment: List below present and past employement, beginning with your most recent.
#1 Name and Address of Company and Type of Business:
Phone Number:
From (Mo/Yr):
To: (Mo/Yr):
Hourly wage $:
Reason for leaving:
#2 Name and Address of Company and Type of Business:
Phone Number:
From (Mo/Yr):
To: (Mo/Yr):
Hourly wage $:
Reason for leaving:
#3 Name and Address of Company and Type of Business:
Phone Number:
From (Mo/Yr):
To: (Mo/Yr):
Hourly wage $:
Reason for leaving:
I hearby give permission to contact the employers listed above concerning my prior work experience.
Personal Reference
Name:
First: Last:
Title :
Occupation:
Phone Number:
I declare the information provided by me in this application is true, correct, and complete to the best of my knowledge. I understand that if employed, any falification, misstatement, or omission of fact in connection with my application, whether on this document or not, may result in immediate termination of employment. I autroize you to verify any and all information provided above.
EARLY CHILDHOOD EXPERIENCE
What makes you qualified for this position?:
Tell me about your experience.:
Why do you want to work with young children?:
Are there any concerns you have about this position?:
Additional comments: