Kinder Prep Learning Center Post Falls Employment Application Form

Kinder Prep Learning Center-Post Falls

Fill the form below accurately indicating your potentials and suitability to job applying for.
Name: *

First Name Middle Name Last Name
Phone Number: *

Area Code Phone Number
E-mail Address: *

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are you 18 years or older? *

Yes No
Are you a US citizen? *

Yes No
Are you under a doctor's care? *

Yes No
If yes, please explain:
Are you able to lift up to 30 pounds? *

Yes No
If no, please explain:
Have you ever been convicted of a crime? *

Yes No
If yes, please explain:
Do you have the ability to obtain and pass a background check from the Idaho Department of Health and Welfare? *

Yes No
Are you current and have proof of completion of Passing Pediatric CPR and First Aid? *

Yes No
Are you presently employed? *

Yes No
Please Upload Your Resume (candidates will not be considered without an updated resume attached): *
Position Applying for:
Breaker, Toddler Teacher,
Are you looking for part time or full time? *

Part Time Full Time
What is your expected hourly wage? *
Educational Background
High School: *
Received Diploma or Equivalent (GED)? *

Yes No
College:
Major:
Received Degree?

Yes No
Job Skills & Training
Are you enrolled in Idaho STARS?

Yes No
Have you worked in a facility that was enrolled in the Food Program?

Yes No
Do you have any special skills or talens that would be beneficial in working with young children? (Please include administrative, organizational, and communication skills): *
What 3 words would describe your personality?: *
What are your future professional goals? *
What are your future personal goals? *
Training or Certifications:
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name: *

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known: *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Reference 2
Name: *

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known: *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

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Kinder Prep Learning Center-Post Falls

Educational Background

Job Skills & Training

References

Reference 1

Reference 2