Fillable Personal Information Alphabet Acres Daycare Center Employment Application

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Personal Information Alphabet Acres Daycare Center Employment Application

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Alphabet Acres Daycare Center
3633 W. Lake Ave Suite LL5
Glenview, IL 60026
email: alphabacre@aol.com
Phone: 847-657-6207 / Fax: 847-657-8345
website: www.ABC-Acres.com
Alphabet Acres Daycare Center Employment Application
Alphabet Acres Daycare Center
is an Equal Opportunity Employer.
Applications are considered without regard
to race, color, religion, sex, national origin, age
marital or veteran status, or the presence of a
non-job related medical condition or handicap.
Name
Address
City State Zip Code
Country
Please Check to Certify that you are Legally
Permitted to Work in the USA
SSN
Phone # Cell Phone #
Employment Desired
Desire Position
Date You Can Start
Please Enter Phone Numbers Without Dashes as Follows: (i.e. 847-657-6207 = 8476576207)
Please Do Not Fill In SSN Online - We Will Fill It In During Your Interview To Protect Your Privacy
PerDesired Salary
EMAIL
Contact Phone #
Contact Name:
Emergency Contact Information
Please List any Medical Conditions or Physical Limitations that Need to Be Accommodated
Special Needs
Personal Information
Have you Applied To This
Company Before?
Yes No
Page 1 of 4
If So, When?
and Where?
If so, May we Contact Your Current Employer?
Yes No
Are You Currently Employed?
Yes
No
Print Form
Submit by Email
Alphabet Acres Daycare Center Employment Application
Page 2 of 4
Education
City
State
Zip Code
Street Address
Years Attended
Did You Graduate?
Yes
No
Special Studies
Country
High School
City
State
Zip Code
Street Address
Years Attended
Did You Graduate?
Yes
No
Special Studies
Country
College
City
State
Zip Code
Street Address
Years Attended
Did You Graduate?
Yes
No
Special Studies
Country
Other
Multiple Languages, Areas of Special Study or Applicable Experience
Languages Spoken and or Written
Special Areas of Study / Research
Other Applicable Experience
US Military Service (list branch)
Rank
Are you Still Active
or in Reserves?
Yes
No
Former Employment
Please List Last Three Employers Below, Starting with Last One First
Alphabet Acres Daycare Center Employment Application
Employer
City State
Position
Phone (#'s Only)
EXT
Salary
Per
Reference
Address
Zip Country
To
May We Contact
This Reference?
Full Time
Part Time
Pos.Type
From
Reason for Leaving
Yes
No
Page 3 of 4
Employer
City State
Position
Phone (#'s Only)
EXT
Salary
Per
Reference
Address
Zip Country
To
May We Contact
This Reference?
Full Time
Part Time
Pos.Type
From
Reason for Leaving
Yes
No
Employer
City State
Position
Phone (#'s Only)
EXT
Salary
Per
Reference
Address
Zip Country
To
May We Contact
This Reference?
Full Time
Part Time
Pos.Type
From
Reason for Leaving
Yes
No
Have you ever been convicted of a felony and / or a misdemeanor within the past 5 years?
Yes
No
If yes, Please Explain
References
Alphabet Acres Daycare Center Employment Application
Please List 1 Family Member, 1 Personal Reference 2 Professional References Which We May Contact
Name
Address
City State Zip Code
Country
Relationship
Phone (#'s Only)
Years Known
Name
Address
City State Zip Code
Country
Relationship
Phone (#'s Only)
Years Known
Name
Address
City State Zip Code
Country
Relationship
Phone (#'s Only)
Years Known
Name
Address
City State Zip Code
Country
Relationship
Phone (#'s Only)
Years Known
Page 4 of 4
I CERTIFY that the facts presented in this application are true and complete to the best of my knowledge.
In the event of employment, I UNDERSTAND that should any statements made in this application or during the
interview process prove to be false, that this maybe grounds for immediate dismissal.
I UNDERSTAND that there is no stated or implied minimum length of employment and that should I be hired, I
agree that my employment may be terminated at any time, without prior notice,or just cause.
I AUTHORIZE Alphabet Acres Daycare Center to investigate all statements made in this application and to contact
any references given, while releasing Alphabet Acres Daycare Center from any liabilities and or damage caused.
I certify that I am legally entitled to work in the United States and that all permits are still valid.
Signed By
Current Date
7/20/09
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Personal Information Alphabet Acres Daycare Center Employment Application

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Completed 11 May 2021

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