| Kid Kampus · Clifton Park, NY 12065
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  • Employee Application

Employee Application

I would like to apply for:

Personal Information

Name *

Address *

Telephone Number(s)

Cell *

Home

Are you over the age of 18? *
 Yes No

If NOT, can you legally work here? *
 Yes No

How did you learn of our organization? *

Have you ever been convicted of a crime? *
 Yes No

If YES, please explain:

Employment History

Name of Company/Business *

Starting Date *

Ending Date *

Supervisor *

Reason for leaving *

Phone Number *

Describe the work you did *


Name of Company/Business

Starting Date

Ending Date

Supervisor

Reason for leaving

Phone Number

Describe the work you did


Name of Company/Business

Starting Date

Ending Date

Supervisor

Reason for leaving

Phone Number

Describe the work you did

Personal References

Please list two individuals that are able to provide information on your character and/or qualifications for a position at Kid Kampus. Please do not list family members.

Name *

Position *

Phone Number *

Professional References

Please list two individuals that are able to provide information on your character and/or qualifications for a position at Kid Kampus. Please do not list family members.

Name *

Position *

Phone Number *

Do you give permission to contact the employers listed above? *
 Yes No

Education

High School Name *

Course of Study *

Last Year Completed *

Graduated? *
 Yes No


Undergraduate School Name

Course of Study

Last Year Completed

Graduated?
 Yes No


Graduate School Name

Course of Study

Last Year Completed

Graduated?
 Yes No


Other

Course of Study

Last Year Completed

Graduated?
 Yes No

**Upon Hiring a Transcript and/or Diploma must be furnished to the Director**

Certifications

Please list any certifications you have received, along with the expiration date. (CPR, First Aid, etc)

On the lines below please explain why you entered or wish to enter the field of Child Care and/or Education and what you feel you have to offer the children enrolled at Kid Kampus.

 Yes, I hereby confirm that all information provided on this application is true. I understand that the provision of false information is grounds for immediate dismissal. *

Signature *

Date *

About Us

Kid Kampus a family-owned and operated daycare center since 2012. We have expanded our services to meet the needs of our families and community by including infant, toddler, and pre-school programs!

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© 2014 Kid Kampus · 282 Grooms Road, Clifton Park, NY 12065 · 518-371-0502
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