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Home
About Us
Programs
Parent’s Portal
Contact
Employment

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Home
About Us
Programs
Parent’s Portal
Contact
Employment

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Home
About Us
Programs
Parent’s Portal
Contact
Employment

Employment

Join Our Team!

Fill out the form below and we’ll be in touch to complete your application.

Step 1 of 10

10%

Name

First Middle Last Maiden (If Applicable)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Date of Birth

MM slash DD slash YYYY

Desired Position(s)

Part Time Teacher

Full Time Teacher

Cook

Volunteer

Employer Name

Address

Phone Number

Position / Job

Employed From:

MM slash DD slash YYYY

Employed To:

MM slash DD slash YYYY

Managers Name

Reason For Leaving

Add Another Employer?

No

Yes

Employer Name

Address

Phone Number

Position / Job

Employed From:

MM slash DD slash YYYY

Employed To:

MM slash DD slash YYYY

Managers Name

Reason For Leaving

Add Another? x

No

Yes

Employer Name

Address

Phone Number

Position / Job

Employed From:

MM slash DD slash YYYY

Employed To:

MM slash DD slash YYYY

Managers Name

Reason For Leaving

Elementary School Name

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Diploma / Degree / Certificate

High School Name

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Diploma / Degree / Certificate

College Name

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Diploma / Degree / Certificate

Add Graduate?

No

Yes

Graduate Title

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Diploma / Degree / Certificate

Add Other?

No

Yes

School / Institution Name

Start Date:

MM slash DD slash YYYY

End Date:

MM slash DD slash YYYY

Diploma / Degree / Certificate

Languages Spoken and/or Written

Special Areas of Study/Research

Other Applicable Experience, Skills or Talents

Attach Files

Max. file size: 20 MB.

Attach files that show any courses you've completed, workshops attended, and conferences attended.

**Reference 1** Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship

Phone

**Reference 2** Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship

Phone

**Reference 3** Name

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship

Phone

Regular Working Availability

On-Call Working Availability

Infants (0-18 Months)

Very Interested

Moderately Interested

Least Interested

Please mark your interest level in working with this age group.

Toddlers (18-30 Months)

Very Interested

Moderately Interested

Least Interested

Please mark your interest level in working with this age group.

Pre-School & Pre-K (2.5-4 years)

Very Interested

Moderately Interested

Least Interested

Please mark your interest level in working with this age group.

School Age (5-12 Years)

Very Interested

Moderately Interested

Least Interested

Please mark your interest level in working with this age group.

Criminal History & Background Information Checks

By checking this box I understand the following:

In accordance with Alabama law, (Code of Alabama 1975, Title 38, Chapter 13, effective November 1, 2000), the criminal history background informtion check shall be completed on each substitute, caregiver, voulunteer, and domestic worker, as well as any other person who has contact with the children or unsupervised access to the children shall be reviewed. You must complete a Mandatory Criminal History Notice Form and a Criminal History Information Consent and Release Form. The fee must be submitted with the finterprints and the consent form. Required forms are available from the Department. If you previously had a criminal history check done for the Departent of Human Resources and the required information on file, it is not necessary to complete a criminal history check.

Are there any current criminal charges against you?

No

Yes

Please Explain

Have you ever been convicted of a felony?

No

Yes

Please Explain

Clearance of State Central Registry on Child Abuse/Neglect

By checking this box I understand the following:

A completed REQUEST FOR CLEARANCE OF STATE CENTRAL REGISTRY ON CHILD ABUSE/NEGLECT (DHR-DFC-1598) shall be obtained for each caregiver, substitute, volunteer, domestic worker, and any other person who has contact with the children or unsupervised access to the children.

By checking this box, I CERTIFY

I CERTIFY AND UNDERSTAND

...that the facts presented in this application are true, factual, and complete to the best of my knowledge. In the event of employment, I UNDERSTAND that should any statements made in this application or during the interview process proves to be false, that this may be grounds for immediate dismissal.

By checking this box, I UNDERSTAND

I UNDERSTAND

...that there is no stated or implied minimum or maximum length of employment and that should I be hired, I agree that my employment may be terminated at any time, without prior notice, or just cause.

By checking this box, I UNDERSTAND

I UNDERSTAND

...that all common areas within EMI Childcare center are under video surveillance at all times. These recordings may be used in the investigation of all, but not limited to, employees and our volunteers.

By checking this box, I UNDERSTAND

I UNDERSTAND

...that all claims and disputes arising under or relating to this Agreement are to be settled by binding arbitration in the state of Alabama or another location mutually agreeable to the parties. An award of arbitration may be confirmed in a court of competent jurisdiction.

By checking this box, I AUTHORIZE

I AUTHORIZE

...EMI Childcare Center and or all agencies, organizations, and necessary persons to investigate all statements made in this application and to contact any references given while releasing EMI childcare Center from any liabilities and or damage caused. I certify that I am legally entitled to work in the United States and that all permits are currently valid.

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