Form - Beautiful Minds

Application For Employment

If you are under 18, can you submit a work permit if hired?

Yes No

Are you a U.S. Citezen?

Yes No

If NO, Do you have a VISA to work in U.S.?

Yes No

EDUCATION

Elementary

High School

Colledge

Other

List any experience with groups of children (indicate ages of children, your duties, dates of time you worked in this position, reasons for leaving

Have you attended or completed any child care training courses? If Yes, list in th space provided below.

Can you lift atleast 20lbs?

yes no

Employment History

Begin with your most current or most recent employer. If you have been unemployed during any time within the past 10 years, list how you spent your time, e.g., Student, Housewife, Unemployed, Etc.

Submit Resume

Cover Letter

May contact previous employers?

yes no

Do you have criminal record?

yes no

Has it ever been shown by credible evidence (e.g. A court order, jury, depart investigator, or other reliable evidence) that you have abused, neglected or deprived a child or adult, or have subjected any person to serious injury as a result of intentional or grossly negligent misconduct as evidenced by an oral or written statement to this effect obtained at the time of application?

yes no

Under the Americans with Disabilities Act of 1991, this program is required to reasonable accommodate individuals with a disability. The reasonable accommodation requirement applies to the application process, any pre-employment testing, interviews and actual employment, but only if the program supervisor is made aware that an accommodation is required. If you are disabled and required accommodation, you may request it at any time during the interview process. You are obligated to inform the program director of your needs if it will impact your ability to perform the job for which you are applying.

Having read the job description for the position for which you are applying, are you in all respects, able to adequately perform the duties as described?

yes no

Do you have any health conditions?

yes no

Do you have a valid Driver's License?

yes no

Have you had CPR training within the past 2 years?

yes no

Have you had first aid training within the past 3 years?

yes no

Apply Now!