Employment - Preston Children's Academy

Name*

First Last

Date of Birth

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Enter Email Confirm Email

Position Applying For:

Have you ever been convicted of breaking a law other than a minor traffic vilation?*

Yes
No

Please give the date and explain fully.

Education

Highest Level of Education Completed

High School
Some College
Associates Degree
Bachelors Degree
Graduate Degree

High School Attended - Name, Dates Attended

College or University - Name, Dates Attended, and Area of Study

Graduate or Professional - Name, Dates Attended, and Area of Study

Educational, Vocational - Name, Dates Attended, and Area of Study

Child care training you have completed in the last three years.

References

Names, addresses, and phone numbers of two people we may contact as references.*

Work History

List child care/early childhood experience first.

Employer

Address

Street Address City State

Supervisor's Name

First Last

Currently Employed There

Yes
No

Date Started

Date Left

Reason for Leaving

May we contact them?

Yes
No

Duties

Employer #2

Employer

Address

Street Address City State

Supervisor's Name

First Last

Currently Employed There

Yes
No

Date Started

Date Left

May we contact them?

Yes
No

Reason for Leaving

Duties

Employer #3

Employer

Address

Street Address City State

Supervisor's Name

First Last

Currently Employed There

Yes
No

Date Started

Date Left

Duties

May we contact them?

Yes
No

Reason for Leaving

Consent*

I agree.

I certify that I have given true, accurate, and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize education institutions, associations, registration, and licensing boards, and others to furnish whatever detail is available covering my qualifications. I authorize investigations of all statements made in the application and understand that false information of documentation or failure to disclose relevant information may be grounds for rejection of my application, disciplinary action, or dismissal if I am employed, and (or) criminal action. I further understand that dismissal on unemployment shall be mandatory if fraudulent disclosures are given to meet position qualifications.

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Email

Preston Children's Academy

919-297-0007

Thank you for your interest in joining the Preston Academy team. Please fill out the employment application below. If your qualifications meet our criteria someone will reach out to you.

Employment Application

Education

References

Work History

Employer #2

Employer #3