EmailMe Form - Joyful Noise Christian Childcare Emp. Application

Name *

First Last

Today's Date *

MM / DD / YYYY

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Personal Information

Email *

Confirm

Phone Number *

### - ### - ####

POSITION, ELIGIBILITY AND SCHEDULE AVAILABILITY:

Position Applied For *

Please refer to our Joyful Noise Essential Functions document to read about what is expected from our childcare workers at:

http://www.joyfulnoisekids.com/pdfs/EssentialFunctions.pdf

Can you perform the duties of this job, or perform them with reasonable means of assistance? *

Yes

No

Upload Your Resume (optional)
Resume may be in .doc, .docx or .pdf format

If employed, what salary or hourly rate to you expect? *

Are you eligible to work in the United States? *

Yes

No

Have you ever been discharged for cause?
If yes, please explain. *

Yes

No

Reason for employment discharge:

Have you ever been convicted of a crime, excluding minor traffic violations?
If yes, please explain. *

Yes

No

Conviction Information:

Are there any pending felony violations against you?
If yes, please explain. *

Yes

No

Conviction Information:

Do you use illegal drugs? *

Yes

No

Days Available *

Hours Available (Please note that Joyful Noise is open Monday through Friday, from 6 a.m.-6 p.m.). *

Open to any hours

AM

PM

For specific Day/Hour availability, please enter information below.

I am applying for *

Seasonal work (explain below)

Year Round

For specific Day/Hour availability, please enter information below.

What date are you available to start work? *

MM / DD / YYYY

BACKGROUND AND EDUCATION:

Name and Address Of School - Degree/Diploma - Graduation Date *

Additional Skills and Qualifications: Licenses, Skills, Training, Awards

________________________________________

EMPLOYMENT HISTORY:

Present Or Last Position:

Employer: *

Address: *

Supervisor: *

Phone Number *

### - ### - ####

Position Title: *

Start Date *

MM / DD / YYYY

End Date *

MM / DD / YYYY

Responsibilities: *

Salary *

Input hourly wage, if not salaried.

Reason for Leaving: *

May we contact your present employer? *

Yes

No