Careers at Learning Ladder Schools

Personal

Name

First Name: Middle Name: Last Name:

Are you at least 18 years of age?

Yes No

Address

Street Address: Address Line 2: City: State: Zip:

Contact Information

Home Phone: Work Phone: Email Address:

Working with us

Have you worked for Learning Ladder Schools Before:

Yes No Position Desired:

Hours Desired:

Full Time Part Time

Are you able to start with part-time hours?

Yes, No Desired Salary Range:

Education

High School: Year Graduated: College or Trade School: Year Graduated: Major Course of Study:

Are you currently enrolled in any classes?

Yes No If yes, what are you currently studying?

Employment History

Please give complete full-time and part-time employment record. Start with your present or most recent employer.

Most Recent Employer

Company Name:

Company Address

Street Address: Address Line 2: City: State: Zip: Name of Supervisor: Job Title: Your Responsibilities:

Employer 2

Company Name:

Company Address

Street Address: Address Line 2: City: State: Zip: Name of Supervisor: Job Title: Your Responsibilities:

Employer 3

Company Name:

Company Address

Street Address: Address Line 2: City: State: Zip: Name of Supervisor: Job Title: Your Responsibilities:

Professional References

Reference 1

Name: Occcupation: Phone: How do you know them? Years Known:

Reference 2

Name: Occcupation: Phone: How do you know them? Years Known:

Reference 3

Name: Occcupation: Phone: How do you know them? Years Known:

General Information

Have you ever been accused of any form of child abuse?

Yes No
If yes, Please explain

Have you ever been discharged or forced to resign from a position?

Yes No
If yes, Please explain

The position applied for may, from time to time, be physically and emotionally demanding. Do you have any present physical emotional or mental conditions or other handicaps that may prohibit you from performing your normal duties?

Yes No
If yes, Please explain

Have you ever been convicted of a felony or criminal offense (other than minor traffic violations)?

Yes No
If yes, Please explain

Other

List any special skills, training, honors, certificates or education that would apply to the childcare profession. Please list any experience you have had working with children since the age of 16 (be specific). Briefly explain why you feel you are the best candidate for the position for which you are applying.

Our Values:

Application for Employment

Name

Are you at least 18 years of age?

Address

Contact Information

Working with us

Have you worked for Learning Ladder Schools Before:

Hours Desired:

Are you able to start with part-time hours?

Are you currently enrolled in any classes?

Most Recent Employer

Company Address

Employer 2

Company Address

Employer 3

Company Address

Reference 1

Reference 2

Reference 3

Have you ever been accused of any form of child abuse?

Have you ever been discharged or forced to resign from a position?

Have you ever been convicted of a felony or criminal offense (other than minor traffic violations)?

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