Name (First, Middle, Last
Available (Check One)
Are you available 6:30 a.m.-6:00 p.m.
If No, Please Explain
Do You Have Reliable Transportation?
Date of Birth (Optional)
High School Diploma/GED
Have You Applied With Us Before
If Yes, When?
List All Degrees Held
45 Hours Required DCF Training?
Have You Ever Been Accused or Convicted of Child Abuse?
Have You Ever Been Convicted of a Felony
If 'Yes', in What State?
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages or salary, be terminated at any time without my previous notice. I also understand that employment is on a trial basis for the first 90 days.
If employed at Beaches Academy, I acknowledge I will be required to:
List your last three jobs. You MUST list EVERY job held during the past two years regardless of the number of jobs held.
If you have held more than three jobs in the past two years, you will be required to provide that information in the interview process.
Your Job Title
Reason for Leaving
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