JOIN THE PRECIOUS TIME TEAM

All applications will be considered without regard to race, religion, color, sex, national origin, age or any other status protected by law. Precious Time is an Equal Opportunity Employer.

Position applying for:
Full Time:
Part Time:
Expected Salary per hour / year:
Week Days (M-F)
Weekends (Sat-Sun)

PERSONAL DATA

Name
Address
City
State
Zip Code
Cell Phone (  )
Home Phone (  )
Email
Are you at least 18 years of age
Date of Birth

AVAILABILITY

First Date available to start work?
What hours are you interested in?
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Have you worked for Precious Time before?
When?

PERSONAL HISTORY

1. If you are hired, you will be subject to a criminal records background check. Do you consent to this?

2. Have you ever been convicted of a felony?
If Yes, please explain:
3. Have you ever been convicted of a misdemeanor?
If Yes, please explain:
4. Do you have a valid driver’s license?

5. Have you been convicted of any moving violations or been involved in an accident in the last 3 years?

6. Do you have a special operator’s (CDL) license?

7. Is there anything that would interfere with your ability to successfully perform the duties of this position?

If yes, please explain:

EDUCATION/ TRAINING

Circle highest grade completed in High School
Graduated High School?
Year graduated High School

If you did not complete high school, do you have a high school equivalency diploma?

Date received
Circle number of years of education past high school
Name of Institution Degree Received/Working on Major Minor Dates Attended
*
*
*
First Aid Certification
Expiration Date:
CPR Certification
Expiration Date:
M.A.T. Training
Expiration Date:

WORK EXPERIENCE

Starting with the most recent, describe ALL paid and applicable voluntary experience. Use additional pages if necessary

May we contact this employer as a reference (Circle One)?
Employer
Job Title
Salary
Address:
Phone (    )
Type of business
Immediate supervisor
Dates of employment (from)
(to)
Full Time
Part Time
Hours per Week
Job Duties
*************************************************************************************************************************************
May we contact this employer as a reference (Circle One)?
Employer
Job Title
Salary
Address:
Phone (    )
Type of business
Immediate supervisor
Dates of employment (from)
(to)
Full Time
Part Time
Hours per Week
Job Duties
*************************************************************************************************************************************
May we contact this employer as a reference (Circle One)?
Employer
Job Title
Salary
Address:
Phone (    )
Type of business
Immediate supervisor
Dates of employment (from)
(to)
Full Time
Part Time
Hours per Week
Job Duties
*************************************************************************************************************************************
May we contact this employer as a reference (Circle One)?
Employer
Job Title
Salary
Address:
Phone (    )
Type of business
Immediate supervisor
Dates of employment (from)
(to)
Full Time
Part Time
Hours per Week
Job Duties
*************************************************************************************************************************************

OTHER REFERENCES

List the names, addresses, phone numbers, and relationships of three people not related to you who know your qualifications.

Name
1.
2.
3.
Address
Phone
Relationship

OTHERS

Please answer the following questions to the best of your ability.

1. Explain why you want to work in a preschool setting. What are your goals?
2. How would you handle a situation that required discipline? Name the situation and how you would handle it.
3. What do you like best about yourself? What qualities/skills do you have that will benefit our school?
4. Create an Example Lesson Plan. Include the age of the students, the subject being taught, the concept/goal you are trying to achieve, and the activity. Be Creative!
Age of Students:
Subject:
Concept/Goal:
Activity:

CERTIFICATION, AGREEMENT AND RELEASE:

Please read and initial each agreement and sign and date the bottom.

I give Precious Time permission to investigate all references and to secure additional information about me, if job-related. Furthermore, I give Precious Time the right to verify any educational references given on the application. I hereby release from liability, Precious Time, and its representatives for seeking such information and all other companies, educational institutions, or organizations for furnishing such information.


Initial Here

It is understood and agreed that any misrepresentations by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed.


Initial Here

I understand that just as I am free to resign at any time, Precious Time reserves the right to terminate my employment at any time, with or without cause, and/or prior notice.


Initial Here

I, understand that any false information given by me on this application, or any false statements made to a representative of Precious Time during the interview process will be sufficient grounds for immediate termination. I understand that Precious Time does not tolerate abuse of any kind against a child. Incidents involving abuse of a child are referred to the proper authorities. I understand that any potential offer of employment is conditional pending the results of required background checks and/or satisfaction of all State Licensing requirements, which may include medical or drug testing where applicable by law. I understand that the references and criminal background checks will be used, among other things, to determine my suitability for supervising and caring for children. I have read and agree to the preceding Certification, Agreement and Release.


Applicant’s Signature

Date

THIS APPLICATION IS VALID FOR A PERIOD OF 30 DAYS FROM RECEIPT.

If an offer of employment is not made within this time, you will be required to reapply for any future openings.