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Referred by:



Are you over the age of 18? Yes No
Date you can start working:

Salary desired:

Are you willing to work overtime?: Yes No

Have you ever been employed by Under the Sun?: Yes No

State name(s) of any relatives in our employ and your relationship to them

Is there anything that would prevent you from performing in a reasonable and safe manner the activities involved in the position for which you have applied? Yes No



Have you ever been convicted of a crime?* Yes No



Do you have the legal right to work and remain in the United States? Yes No


Record of Education
High School

Address of School


Number of years completed:

Did You Graduate? Yes No
Diploma or Degree received? Yes No


College

Address of School


ECE Credits for High School & College
Number of years completed:

Did You Graduate? Yes No
Diploma or Degree received? Yes No


Prior Work History
(list in order, last or current employer first) Account for any gaps in your employment.

Name, Address, and Telephone of Employer

Start Date:
End Date:
Rate of Pay:

Reason for leaving:




Name, Address, and Telephone of Employer

Start Date:
End Date:
Rate of Pay:

Reason for leaving:




Name, Address, and Telephone of Employer

Start Date:
End Date:
Rate of Pay:

Reason for leaving:



Military Service
Have you ever served in the U.S. Armed Forces? Yes No


Appropriate Skills

List any appropriate skills that you believe are related to the job for which you are applying (licenses, certificates, first aid, CPR, lifesaving, computer programs, instruments, musicianship, etc. or professional associations that are pertinent to this application).


Are there any other experiences, skills or abilities that you feel especially qualify you for work with our company?


Personal References
(Excluding Relatives)

Name and Occupation:

Dates Known:

Address:

Phone Number:




Name and Occupation:

Dates Known:

Address:

Phone Number:



Questions

Use three words to describe your personality:

What importance would they play at Under the Sun?

What responsibilities do you anticipate as part of your job?

Name three things that make a successful childcare program.

What skills, talents, and abilities can you share with the center?



Pre-employment statement
I understand and agree that : 1.The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification of refusal of employment, or, if employed, termination from Under the Sun's employ. 2.Any offer of employment I may receive from Under the Sun is contingent upon my successful completion of the company's total pre-employment screening process, including the company's references that it considers satisfactory, and my satisfactory completion of any post offer pre-employment medical examination that the company may require. I also agree, if employed to submit to a medical examination at any time at the company's request. I hereby consent to having results of any post offer pre-employment or post employment medical exams I may be required to take disclosed to Under the Sun. 3.I understand that as a condition of employment, I may be required to undergo and successfully pass a screening for alcohol and/or drugs. I also understand and agree that, if employed, I may be required to submit to alcohol or drug screening at any time at the discretion of Under the Sun. I hereby consent to having the results of any such alcohol or drug screening I may be required to undergo disclosed to Under the Sun. 4.In processing my application for employment, the company may verify all the information provided by me, or may procure or have prepared a consumer or an investigative consumer report for this purpose concerning my prior employment, military record, education, character, general reputation, personal characteristics, criminal record, and mode of living. I understand that upon written request to the company, I will be informed whether an investigative consumer report was requested and given full information as to the nature and scope of this investigation. 5.I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information. 6.In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the company and understand that my employment and compensation can be terminated with or without cause or notice, at any time, at the option of either the company or myself. I further understand that no manager or representative of the Company, other that the President, General Counsel, or Vice President, Human Resources, has any authority to enter into any agreement with me for employment for any specified period of time or to make any agreement different from or contrary to the foregoing. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and by one of the individuals designated above.
I Agree