PKC Employment Application

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Knowledge Crates

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 *

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 College: *

Year of Graduation: *

Degree Completed *

Teaching Certification Held *

CLEARANCES:

*Persons employed by EMLC, Inc. are required to have clearances including FBI fingerprints, Criminal Background Check, Child Abuse, NSO 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 year? *

Have you had a TB test in the past year? *

EMPLOYMENT & EXPERIENCE HISTORY:

Please list the name and contact information for three non-related references *

PROGRAM KNOWLEDGE:

Are you familiar with the Keystone Stars program? *

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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