LITTLE LEARNERS PRESCHOOL Employment Application Personal Information Full Name: Date: Address: Phone: Email: Are you authorized to work in the US? ☐Yes ☐No Desired Position: Date Available: Desired Salary: Education School Name: Location: Years Attended: Degree Obtained: High School: College: Other: Previous Employment Company: Phone: Address: Supervisor: Job Title: Responsibilities: Starting Salary: Ending Salary: Reason for Leaving: May we contact your previous supervisor for a reference? ☐Yes ☐No Company: Phone: Address: Supervisor: Job Title: Responsibilities: Starting Salary: Ending Salary: Reason for Leaving: May we contact your previous supervisor for a reference? ☐Yes ☐No References Name: Relationship: Phone: Email: Name: Relationship: Phone: Email: Skills, Interests, & Qualifications List any unique skills, interests, and qualifications that you possess that may be relevant to the position. Why are you interested in working at Little Learners Preschool? Availability List all days/times that you are available to work: Acknowledgement I understand that this application is not a contract for employment and that any employment relationship with Little Learners Preschool is at-will. I certify that all information provided in this application is true and complete. I understand that any misrepresentation or omission of facts may be cause for rejection of this application or termination of employment. Signature: Date: Little Learners Preschool. All rights reserved.
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