Personal InformationFirst NameMiddle NameLast NameMailing AddressCityStateZip CodePhone NumberEmail Address Are you eligible to work in the United States?NoYesState your age if you are under 18 or older than 70What method of transportation will you use to get to work?What position(s) are you applying for?What is your expected rate of pay?Would you work . . .Full TimePart TimeSpecify days and hours if part timeWere you previously employed by us?NoYesIf so, when?If your application is considered favorably, on what date will you be able to start? Your EducationName & Address of High SchoolLast Year CompletedList Diploma or DegreeDid You Graduate?NoYesName & Address of CollegeLast Year CompletedList Diploma or DegreeDid You Graduate?NoYesName & Address of OtherLast Year CompletedList Diploma or DegreeDid You Graduate?NoYes Personal References Please do not include any employers or relatives.NameOccupationMaling AddressCityStateZip CodePhone NumberRelationship to youPersonal Reference 2NameOccupationMaling AddressCityStateZip CodePhone NumberRelationship to youPersonal Reference 3NameOccupationMaling AddressCityStateZip CodePhone NumberRelationship to you Child Care ExperienceHave you worked in a child care center before?NoYesIf yes, with what age group?What age group do you want to work with?Please Select OneInfantToddlerPre-SchoolPre-KindergartenWould you be willing to work with all age groups, if needed?NoYesWhy do you enjoy working with children?What Qualities can you bring to Today's Life?Are you currently certified in first aid?NoYesDate Certified Are you currently certified in infant/child CPR?NoYesDate Certified Have you had SIDS/Shaken Baby training?NoYesDate Certified Present & Past Employment Information Please begin with your most recent employer.Employer 1 Name and Address of CompanyType of BusinessDate Employed From to Starting SalaryEnding SalaryName of SupervisorPhone NumberReason for LeavingEmployer 2 Name and Address of CompanyType of BusinessDate Employed From to Starting SalaryEnding SalaryName of SupervisorPhone NumberReason for LeavingEmployer 3 Name and Address of CompanyType of BusinessDate Employed From to Starting SalaryEnding SalaryName of SupervisorPhone NumberReason for LeavingEmployer 4 Name and Address of CompanyType of BusinessDate Employed From to Starting SalaryEnding SalaryName of SupervisorPhone NumberReason for Leaving Please submit any additional documentation you would like us to review as part of your application. This may include a letter of application, resume or other documents. Acceptable file formats: .pdf .doc .docx .zip Accepted file types: pdf, doc, docx.Accepted file types: pdf, doc, docx.Accepted file types: pdf, doc, docx.Please read carefully before submitting your application By submitting this application to Today's Life Schools and Child Day Care, you assert that you have read this page of information and agree with all statements contained within. Prior to employment, teachers and assistant teachers must submit documentation verifying their qualifications for the position. All employees are required by DHS (MN State regulatory agency) to complete in-service training on an annual basis. All employees are subject to full background studies, conducted by the DHS. The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigative or credit agencies or bureaus of your choice. In making this application for employment, I authorize you to make an investigative consumer report whereby information is obtained through personal interviews with my neighbors, friends or others with whom I am acquainted. This inquiry, if made, may include information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of any such investigative report that is made. I agree to work the hours, days and shifts as needed. I will work in another area or classification, if requested to do so, and will abide by the rules and regulations of Today's Life Schools & Child Day Care. You acknowledge that typing your name below is a legal and binding electronic signature.Type Full Legal NameDate Application Submitted CAPTCHA This iframe contains the logic required to handle AJAX powered Gravity Forms.