Please select the location you wish to apply for: *
---RandolphRio RanchoParadise HillsCarmelLas Vegas
Your Email: *
Your Name: *
Your Address: *
Your City, State: *
Your Zip Code: *
Your Home Phone: *
Your Mobile Phone: *
Currently Employed: *
May we contact your present Employer?*
Available start date: *
How did you hear about SpringStone:
Days and Hours Available:
Age of Children Preferred:
CPRFirst Aid24 Hour ClassCDA
Special Skills/ Training/ Hobbies:
Experience with children: *
Total Early Childhood Hours:
For each level of education please enter: Name and location of School, years attended, and major/minor.
Did you Graduate?*
Did you Graduate?
Emergency Contacts: *
Include the names, phone numbers, and relationship of at least 2 emergency contacts.
Are you either a U.S. citizen or an alien authorized to work in the U.S.?: *
Are you at least 18 years of age?: *
Have you ever been arrested or had a substantiated referral to a child protective agency?: *
Include the following information about your last three most recent employers: Company, Address, Phone number, Name of supervisor, Job Title, How long you worked there, Why you left, Rate of pay, and Major responsibilities.
Please explain any gaps in employment:
Copyright Laws: *
---YesNoNo one other than a SpringStone franchisee, who has purchased a SpringStone franchise, may reproduce, copy or use in any other form, the documents that SpringStone has designed as part of the SpringStone package to be sold to it's franchisees.This includes all intellectual property belonging to SpringStone. All documents, procedures and methods designed by SpringStone employees while employed at SpringStone shall remain property of SpringStone Franchise Children's Centers, LLC.
Verification of Facts: *
---YesNoI certify the facts contained in this application are true and complete to the best of my knowledge. I authorize investigation of all statements contained and references listed (both employment and character references). I release all parties from all liability for any damage that may result from furnishing the same to you. I understand and agree that if I am hired, my employment is for no definate period and may be terminated at any time without prior notice and without cause.
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