APPLICANT INFORMATION
Date of Application
Last Name
First Name
Middle Name
Street Address
Appartment/Unit #
City
State
Zip Code
Telephone #
Email
Position Applied For
Source of Referral
SELECT ACCURATE ANSWER
AVAILABILITY TO WORK - FOR DAYCARE ASSOIATE POSITIONS
If you are interested in working in the playgroups, please indicate the hours you are AVAILABLE to work. Then denote availability for each day in the space below (e.g., “All Day”, “After 2PM”, “Before 10AM”, “Not Available”, etc.)
WORK HISTORY
Please list the names of your present and/or previous employers in chronological order with present or most recent employer listed first. Attach additional sheets if needed. You may include any verifiable work performed on a self-employed basis, volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment. Do not answer "See Résumé."
EMPLOYER ONE
Employer One, Company Name
Address
Type of Business
Dates Employed
Manager/Supervisor
Telephone Number (s)
Reason for Leaving
Describe Duties
EMPLOYER TWO
Employer Two, Company Name
Address
Type of Business
Dates Employed
Manager/Supervisor
Telephone Number (s)
Reason for Leaving
Describe Duties
EDUCATION & MILITARY EXPERIENCE
HIGH SCHOOL
School Name and Location (Address, City, State)
Course of Study or Major
Years Completed
Honors Received
COLLEGE
School Name and Location (Address, City, State)
Course of Study or Major
Years Completed
Honors Received
GRADUATE PROFESSIONAL
School Name and Location (Address, City, State)
Course of Study or Major
Years Completed
Honors Received
TRADE OR CORRESPONDENCE
School Name and Location (Address, City, State)
Course of Study or Major
Years Completed
Honors Received
MILITARY
ADDITIONAL INFORMATION
Describe any special training or education with animals:
Please specify why you would be a good fit for PUPS PLAYHOUSE?
Please specify any customer service skills:
Is there anything else that you would like us to know about you?
REFERENCES
Reference 1 Name
Position
Company
Relationship
Phone
Email
Reference 2 Name
Position
Company
Relationship
Phone
Email
APPLICANT'S STATEMENT
1. I authorize PUPS PLAYHOUSE to investigate my record including any of the information contained in this employment application except where my written statement specifically requests that no investigation be made.
Signature
Acceptance Date
Send
