Glorious Wonders Childcare Center Job Application Applicant InfoName(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date Available(Required) MM slash DD slash YYYY Days Available(Required) Monday Tuesday Wednesday Thursday Friday Select AllAM/PM/Both(Required) AM PM Both Position Applying For(Required) Desired Salary(Required)Are you eligible to work in the United States?(Required) Yes No If yes, what name(s)? Have you worked for Glorious Wonders before?(Required) Yes No Have you ever been convicted of a felony?(Required) Yes No Please explain your felony conviction.(Required) EducationHigh School(Required) City/State Did you graduate?(Required) Yes No Diploma College City/State Did you graduate?(Required) Yes No Degree Other City/State Did you graduate?(Required) Yes No Degree Professional CertificationsCertificate Earned Date Achieved MM slash DD slash YYYY Certificate Earned Date Achieved MM slash DD slash YYYY Certificate Earned Date Achieved MM slash DD slash YYYY Professional ReferencesPlease list two professional references.Name(Required) First Last Relationship(Required) Company Name & Address(Required) Phone(Required)Email(Required) Name(Required) First Last Relationship(Required) Company Name & Address(Required) Phone(Required)Email(Required) Employment HistoryCompany Name & Address PhoneDates of Employment Reason For Leaving Job Title Supervisor's Name Email Starting Salary Ending Salary ResponsibilitiesMay we contact your previous employer?(Required) Yes No Company Name & Address PhoneDates of Employment Reason For Leaving Job Title Supervisor's Name Email Starting Salary Ending Salary ResponsibilitiesMay we contact your previous employer?(Required) Yes No Company Name & Address PhoneDates of Employment Reason For Leaving Job Title Supervisor's Name Email Starting Salary Ending Salary ResponsibilitiesMay we contact your previous employer?(Required) Yes No Company Name & Address PhoneDates of Employment Reason For Leaving Job Title Supervisor's Name Email Starting Salary Ending Salary ResponsibilitiesMay we contact your previous employer?(Required) Yes No Pre-Employment QuestionsWhy would you like to be hired at Glorious Wonders?(Required)What age group do you prefer to work with?(Required)Are you willing to work with various age groups?(Required) Yes No Please list your areas of strength.(Required)Please list areas you'd like to improve?(Required)Are you able to perform the duties and responsibilities with or without reasonable accommodations? If you do require reasonable accommodations, please explain.(Required)Have you ever supervised a staff?(Required) Yes No In reference to the below listed, please rate yourself on a scale of 1-10. (1 being poor, 10 being excellent)Organization(Required)Please enter a number from 1 to 10.Cleanliness(Required)Please enter a number from 1 to 10.Punctuality(Required)Please enter a number from 1 to 10.Honesty(Required)Please enter a number from 1 to 10.Likeability(Required)Please enter a number from 1 to 10.Creativity(Required)Please enter a number from 1 to 10.Congeniality(Required)Please enter a number from 1 to 10.Are you willing to participate in conferences, workshops, classes, and certification programs required by the Tennessee Department of Child Services?(Required) Yes No Are you CPR Certified(Required) Yes No Expired Are you First Aid Certified(Required) Yes No Expired Disclaimer 1. I certify that my answers are true and complete to the best of my knowledge. 2. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.Signature(Required)Date MM slash DD slash YYYY
