Date of Appilication:
May 26, 2017

Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

Name: last first middle
Street Address: City: State: ZIP:
Home Telephone: Cell: Birthday(mm/dd/year):
Position applied for : Cook, Teacher, Assistant Teacher, Floater, On Call     Email Address:
How did you hear of this opening? When can you start? Desired Wage $
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.)
Yes No
Are you looking for… Full Time Part Time Morning Afternoon
Which location you would prefer to work at? Olive and 61st ave Bell and 43rd ave Either
Have you ever been convicted of a felony? (This will not necessarily affect your application.) Yes No
If yes, please describe conditions.
Are you currently enrolled in High School? Yes No
If NO, can you furnish a High School Diploma or GED? Yes No
Are you enrolled in a child care related career program? Yes No
Education School Name and Location Year Major Degree GPA
           Graduated
High School    
College            
College            
Post College    
Other Training
In addition to your work history, are there other skills, qualifications, or experience that we should consider?
1. Are you CPR/First Aid Qualified? Yes No
Do you have your Fingerprint Clearance Card? Yes No
Do you have a Food Handlers Card? Yes No




Employment History

1.) Company Name:
Address: Telephone: Date Started: Starting Wage:
Starting Position: Date Ended: Ending Wage: Ending Position:
Name of Supervisor: May we contact? Yes No
Responsibilities: Reason for leaving:
2.) Company Name:
Address: Telephone: Date Started: Starting Wage:
Starting Position: Date Ended: Ending Wage: Ending Position:
Name of Supervisor: May we contact? Yes No
Responsibilities: Reason for leaving:
3.) Company Name:
Address: Telephone: Date Started: Starting Wage:
Starting Position: Date Ended: Ending Wage: Ending Position:
Name of Supervisor: May we contact? Yes No
Responsibilities: Reason for leaving:
4.) Company Name:
Address: Telephone: Date Started: Starting Wage:
Starting Position: Date Ended: Ending Wage: Ending Position:
Name of Supervisor: May we contact? Yes No
Responsibilities: Reason for leaving:
Upon Acceptance of Employment you are required to Complete the following:

2. New hire staff training
3. TB skin Test
4. Finger Print Clearance Card
5. CPR & First Aid
6. Food Handlers Card
Attach additional information if necessary.

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history.

I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other than the owner, has any authority to alter the foregoing.

Signature:         Date: (mm/dd/year)


How many years have you been in child care?
Do you have any children?
What is your favorite age group?
What kind of activities can you bring to our center?
Is there anything you would say you need to improve on?
What major challenges and problems did you face?
How did you handle them?
Where do you see yourself in five years?
Why should we hire you?
Why do you want to work here?
What motivates you?
How do you prioritize tasks?
Describe your ideal job.
Discuss a situation where you had to resolve a conflict.
Describe a situation where you set a goal and met it.
Notes:


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Raising Arizona Preschool is a Glendale preschool and day care located on the border of Glendale and Phoenix, AZ.