Housekeeper Download [609.66 KB] Application For Employment Step 1 of 5 20% What type of employment are you looking for?*Full-time employmentVolunteer Applicant InformationName* First Middle Last LAST FOUR OF SOCIAL SECURITY NUMBER*Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Have you ever been employed with or applied for employment with this Company before?*YesNoIf yes, when?Have you ever been convicted of a felony?*YesNoIf yes, give date and detailsDo you have friends or relatives who work for this company.*YesNoList the name of friends or relatives who work for this company.NameRelationshipLocation Do you currently have children enrolled in the Head Start program?YesNoList the name of your children enrolled in the Head Start Program.NameAgeLocation Employment InformationWould you like to upload your resume and cover letter?*YesNoUpload Resume Drop files here or Position you are applying for?*Minimum Salary Required*Date* List training or work experience related to the position you are applying for.*Experience How did you learn about this position?* Online job posting Walk-in Referred by employee Other Education HistoryAdd your educational experience here*SchoolMajorYears CompletedDiploma/Degree Personal ReferencesList 3 references, excluding relatives.*NameAddressTelephoneOccupation Employment HistoryAdd your work experience here*Company NameCompany Phone NumberSalaryReason Left Signature & TermsMission Statement The mission of Child Care Associates is to assist family successes through excellence in comprehensive child care and development services. Equal Employment Opportunity Statement Equal Employment Opportunity laws prohibit discrimination against individuals on the basis of race, color, religion, sex, national origin, age, or disability. Reasonable accommodations may be available upon request to individuals with disabilities. Drug Free Workplace Statement Child Care Associates is a drug-free workplace. Pre-employment drug testing is required. Disclosure Statement I authorize any person or organization referenced in this application to give Child Care Associates any information with regards to my potential employment. I certify that all statements made by me on the application are true and complete to the best of my knowledge. I understand that falsification could result in termination of my employment. Authorization to Conduct Criminal Background Investigation I authorize Child Care Associates to investigate my criminal background record in consideration for employment. I agree that such an investigation may be repeated throughout my term of employment and include information related to my criminal history record, such as arrest, conviction, plea bargains and deferred adjudication. I understand a procedure exists for clarification, should I dispute information related to my criminal background. I hereby acknowledge that I have read and understand the above statements.Signature*NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. APPLY TODAY RELATED POSTS Nutrition Coordinator in Jobs Early Head Start Floater in Jobs Data Support Specialist in Jobs