Apply for a Career

Personal Information

Full Name (First, Middle, Last)

Phone

Address

General Information:

Role Desired

Desired Start Date

Are you legally authorized to work in the USA?

Yes

Please list any certifications (CPR, First Aid, etc.)

Have you been convicted of a felony?

Yes

If yes, please explain:

Have you worked with children before?

Yes

If yes, please explain your role:

Related Work Experience

Daycare/School

Position

Dates:

Reason for leaving:

Daycare/School

Position

Dates:

Reason for leaving:

Daycare/School

Position

Dates:

Reason for leaving:

General Work Experience:

Employer

Position

Dates:

Reason for leaving:

Daycare/School

Position

Dates:

Reason for leaving:

Daycare/School

Position

Dates:

Reason for leaving:

Two Professional References: (not related to you)

Name:

Work Relationship

Phone

Name:

Work Relationship

Phone

One Character/Family Reference:

Name:

Work Relationship

Phone

Emergency Contact:

Full Name:

Relationship:

Phone

By clicking submit, I hereby certify that the information provided in this application is true and complete. I hereby authorize Golden Days & Little Rays Daycare and Activities Center to investigate my background and employment history. I understand that providing false information on this application may be grounds for not hiring or for immediate termination if employed.