Full Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
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Phone
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(###)
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Rate of pay expected:
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Date you can start
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MM
DD
YYYY
Are you currently employed?
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If so, can we inquire of your present employer?
Please list your three most recent employers
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Include employer name, phone number, job title, starting wage, ending wage, and reason for leaving
How long have you been born-again?
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Describe briefly your salvation experience:
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How long have you been Spirit filled?
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Do you speak in other tongues?
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Yes
No
Do you tithe?
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Yes
No
Do you speak Spanish?
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Yes
No
Please list any other languages you speak
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Do you consider chooselife CHURCH your church home?
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Yes
No
How long have you regularly attended chooselife CHURCH?
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Sports, Hobbies, etc?
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How did you hear about this opening?
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Have you worked with us before?
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Yes
No
List any friends/relatives currently working with us:
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List any skills you have for position applied for:
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Explain any specialized training or additional experience, including Military Training (for the Field of Application)
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Do you have a High School Diploma/GED?
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Yes
No
Please list High School Name and graduation year
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Do you have a college diploma?
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Yes
No
Please list any colleges attended and degrees earned
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Personal Reference
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Please list name and phone number for 3 references. Explain their relation to you
Career Goals
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Please, briefly explain your career goals
Miscellaneous
(if you have any additional information that would help us in considering you for a position with us, use the space below.)
Do you look at this position as temporary job or a long-term commitment?
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Do you have any personal responsibilities or situations that may affect your daily attendance? If yes, explain:
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Do you have any medical or physical problems that may affect your daily interaction with children? If yes, explain:
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Have you ever taught or assisted with teaching preschool or worked in a child care environment? If so, please describe your experience:
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If above answer is no, please tell us why you would like to work with children:
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What do/would you like most about working in childcare?
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What do/would you like least about working in childcare?
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In your past work experience, how many children have you cared for alone and what ages?
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What is your favorite age of children to work with? Why?
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What elements do you think make up a quality daycare?
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What are your expectations for working in a church daycare?
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Briefly explain your philosophy on disciplining children.
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Briefly explain your philosophy on educating children
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How would you respond to a child who is having a temper tantrum?
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How would you respond to a child who will not nap (just standing in crib crying)?
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How would you respond to a child who talks back to you?
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How would you respond to a child who hits or bites you?
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How would you respond to a child who continually disrupts group times?
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How would you respond to a child who is having trouble separating from a parent at drop-off time (upset, crying, clinging, etc.)?
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How would you respond to a child who is having difficulty learning a skill or concept?
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Describe a time when you had to handle an emergency or injury with a child.
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This job also requires 45 hours of childcare-related training and additional toddler training to begin within 6 months of hire date with 24 hour of additional training per year. Do you understand that you will be responsible for acquiring this training, that you are responsible for the costs of this training, and that the training must be completed on your own time?
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Please read & sign the statement below:
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I certify that, to the best of my knowledge & belief, the information given truly represents my background & experience. I understand that if I have knowingly misrepresented or falsified any of the application information I may be disqualified for employment consideration or dismissed from employment.
I authorize my current & former employers to give any information regarding my employment, together with any information regarding me whether it is on their records or not. I hereby release them from any damage whatsoever for issuing same.
I also permit this employer to make the required background investigation and all that pertains to that investigation of me.
Should my application be accepted, I agree to the be bound by the Statement of Faith, Code of Discipline, Biblical principles and teachings and all written policies of chooselife CHURCH and KIDZ City Daycare
First Name
Last Name
Date
MM
DD
YYYY