Employment Application

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Welcome & thank you for your interest in joining our team!

Please complete the application below. If contacted for an interview, we will be discussing your knowledge of our company and the Keystone Stars Program. Please take some time to explore the content on this website and come prepared. Thank you for your interest and good luck!

PERSONAL INFORMATION:

* Indicates required field

Name *

First

Last

Address *

Email *

Phone Number *

Positions *

If interested in the New Milford Campus, please choose one option in the drop down menu.

Date Available: *

How did you hear about us? *

Do you know anyone currently employed with us? *

Please list persons name

Have you worked for us in the past? *

If yes, when? *

Are you a U.S Citizen? *

If no, are you authorized to work in the US? *

Do you have experience working with children? *

If yes, please tell us in what setting? *

I have worked in a licensed home Daycare I have worked in a licensed Child Care Center I have experince babysitting I have worked with children at a Church / Youth Group Other

Please tell us the age of children you have the most experience with: *

Children 1 year and younger (Infants) Children ages 1 & 2 Yrs. (Toddlers) Children age 3 Yrs. (Preschool) Children Ages 4 & 5 Yrs. (PreK) Children in Kindergarten - Grade 6 (SAC)

EDUCATION:

Name of High School: *

Year of Graduation: *

Name of College: *

Year of Graduation: *

Please tell us your area of study: *

Name of College: *

Year of Graduation: *

Please tell us your area of study: *

CLEARANCES:

*Persons employed by EMLC, Inc. are required to have clearances including FBI fingerprints, Criminal Background Check, Child Abuse and a Health Assessment with TB test.

Are you able to obtain all required clearances: *

Please check the box for each clearence you currently have that is dated within the last 5 years. *

FBI Fingerprints Child Abuse Clearance Pennsylvania Criminal History Clearance National Sex Offender Registration

Have you had a health physical in the past 12 months? *

Have you had a TB test in the past 12 months? *

EMPLOYMENT & EXPERIENCE HISTORY:

Applicants are welcome to complete the fields below or scroll down to attach a copy of your resume.

Name of Company: *

Dates Employed *

Company Phone Number: *

Name of direct supervisor: *

Ending Salary: *

May we contact this employer? *

Please tell us about your daily responsibilities: *

Name of Company: *

Company Phone Number: *

Ending Salary: *

Dates Employed: *

Name of direct supervisor: *

May we contact this employer? *

Please tell us about your daily responsibilities: *

PROGRAM KNOWLEDGE:

Are you familiar with the Keystone Stars program? *

Have you taken any trainings or coursework that pertains to the field of Education? (Please do not include coursework for a college degree) *

If you answered yes, please tell us the trainings you have completed. *

DISCLAIMER & SIGNATURE:

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information on my application or interview may result in my release.

NAME *

TODAY'S DATE *

NOTE:
If you are called for an interview, please take some time to familiarize yourself with the Keystone Stars website as well as our website at www.emlcinc.com, as we will be discussing information pertaining to these things during the interview.
Thank you for your interest & good luck!

Ready to Apply!

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