Wee Care Director

Applicant Information

Full Name:

Phone:

Email:

This address will receive a confirmation email

Address:

Date Available:

Desired Salary:

Have you ever worked for us?

Yes No

If yes, when?

Have you ever been convicted of a felony?

Yes No

If yes, explain:

Qualifications

This job will does require experience in the field of childcare and teaching.

Please explain your knowledge in this area:

Education

High School Education

High School:

From:

To:

Did you graduate?

Yes No

College Education

College:

From:

To:

Did you graduate? Yes No

Degree:

Other Education

School:

Did you graduate? Yes No

To:

From:

Degree:

Any other education information needed:

Previous Employment

Current Employment or Most Recent

Company:

Phone:

Job Title:

From:

To:

Starting Salary:

Ending Salary:

Responsibilities:

Reason for Leaving:

Supervisor:

May we contact your employer?

Yes No

One Other Previous Work Experience

Company:

Phone

Job Title:

From:

To:

Starting Salary:

Ending Salary

Responsibilities:

Reson for Leaving:

Supervisor:

May we contact your former employer? Yes No

References - Please List Three Professional References

Reference One

Name:

Phone

Company:

Relationship:

Reference Two

Name:

Phone

Company:

Relationship:

Reference Three

Name:

Phone

Company:

Relationship:

Military Service

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Disclaimer and Electronic Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I acknowledge that typing my signature below holds as much power as my written signature.

Electronic Signature:

Date:

Wee Care Director

Description

Please Fix the Following