Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Position applying for {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Days/Hours available {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Will you be able to work until 5:30 daily? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Will this change throughout the year? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you a citizen of the United States? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If no, are you authorized to work in the U.S.? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you ever worked for this company? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If so, when? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you ever been convicted of a felony? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Education

High School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Start {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

End {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Did you graduate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Degree {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

University/Technical {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Start {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

End {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Did you graduate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Degree {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

References

Please list three professional references

Reference {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Relationship {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Previous Employment

List most recent first

Job {binding ItemNumber}

Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Job Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Starting Salary {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Ending Salery {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Responsibilities {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Start date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

End date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reason for Leaving {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

May we contact your previous supervisor for a reference? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please list additional skills including administration experience, other languages, or any other information you would like for us to know about {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Do you have any physical limitations or disabilities that would affect your daily interaction with children? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please list people below that we can contact in case of an emergency for you

Person {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }