Employee Application

Great Oaks Learning Center

Please Note: GOLC does not currently employ staff that are also seeking childcare.

First name

Middle Name

Last name

Address

Email

Phone:

Social Security Number:

Available Start Date:

Birthday

Month

Day

Year

Are you 18 or older?

Are you eligible to work in the US?

Furthest Year of Education?

Degrees, Certifications, etc:

Are you currently employed? If so, where?

Are there any physical conditions that may limit your ability to lift or carry a child, clean up a classroom, or carry out any other required duties to which you're applying?

Are you CPR Certified?

Are you FirstAid Certified?

Are you willing to substitute until a permanent positions comes available?

Please list the names of any family or friends also working for us?

Compatibility Data

Great Oaks Learning Center is a Christian, faith-based ministry. Our mission is to magnify Jesus Christ through our words and actions while providing excellent quality of childcare and education. GOLC desires all staff members to demonstrate Biblical character and fruit. To help us evaluate our compatibility with one another, please answer the following questions.

Are you currently attending church? If so, where?

In what ways, if any, are you involved in your church or faith-based organization?

Describe how faith plays a part in your life?

Would you be comfortable sharing Bible stories and praying with children (or parents)?

If no, Please explain:

Explain what gifts God has given you that benefit in the caring for and teaching of children:

In your opinion, what makes a successful childcare center?

What special skills, talents, or abilities can you bring to this center?

Previous Employment Data

Please list previous employment going back 7 years if possible. Recording the most recent employer first.

EMPLOYMENT #1

Employer/Business Name:

Supervisor's Name:

Phone:

Position Held:

Employment Started:

Employment Ended:

Reason for Leaving:

Voluntary

Layoff

Terminated by Employer

Other

EMPLOYMENT #2

Employer/Business Name:

Supervisor's Name:

Phone:

Position Held:

Employment Started:

Employment Ended:

Reason for Leaving:

Voluntary

Layoff

Terminated by Employer

Other

EMPLOYMENT #3

Employer/Business Name:

Supervisor's Name:

Phone:

Position Held:

Employment Started:

Employment Ended:

Reason for Leaving:

Voluntary

Layoff

Terminated by Employer

Other

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I certify that responses on this application are true, complete and correct to the best of my knowledge. I understand any false or fraudulent answers is grounds for application dismissal, or termination of job if hired.

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Date:

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Employee Application

Great Oaks Learning Center

Compatibility Data

Previous Employment Data

STEP 2 MUST BE COMPLETED ON NEXT PAGE BEFORE AN INTERVIEW CAN BE SCHEDULED.