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ALLIE GATOR PLAYSCHOOL Application for Employment Allie Gator Playskool is an Equal Opportunity Employer and does not discriminate because of race, color, religion, sex, age, national origin, disability, marital status, veteran status, or any other factor prohibited by law. We are committed to providing a fair and equitable workplace for all employees. Personal Information: Date: Name: Last First Middle Address: Street City State Zip Code Phone Number: Cell Phone Number: Email Address: Social Security Number: Position Applied For: How did you hear about this position? Emergency Contact: Name: Phone Number: Relationship: Education: High School: Name: City/State: Did you Graduate? Yes No College: Name: City/State: Did you Graduate? Yes No Degree: Other Training/Certifications: Skills: Please describe any skills, training, or experience that you have that you feel would be beneficial to this position. Employment History: Please provide your employment history for the past five years, starting with your most recent employer. Employer: Job Title: Dates of Employment: Starting Salary: Ending Salary: Responsibilities: Reason for Leaving: Employer: Job Title: Dates of Employment: Starting Salary: Ending Salary: Responsibilities: Reason for Leaving: Employer: Job Title: Dates of Employment: Starting Salary: Ending Salary: Responsibilities: Reason for Leaving: References: Please provide three professional references who are not related to you. Name: Phone Number: Email Address: Relationship: Name: Phone Number: Email Address: Relationship: Name: Phone Number: Email Address: Relationship: At-Will Employment: I understand and agree that if I am hired, my employment with Allie Gator Playskool is at-will, meaning that either Allie Gator Playskool or I can terminate the employment relationship at any time, with or without cause or notice. I further understand that this at-will employment relationship cannot be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Allie Gator Playskool. Background Check: I understand that if I am offered employment with Allie Gator Playskool, my offer may be contingent upon the successful completion of a background check. I hereby authorize Allie Gator Playskool to conduct a background check and to obtain information about my criminal history, driving record, and other relevant information. Signature: Date: Thank you for your interest in Allie Gator Playskool. We will review your application and contact you if we are interested in scheduling an interview.