At Lighthouse Learning, we are always looking for team members that love children, are hard working and want to make a difference. Please fill out an application and call to set up an interview.
Lighthouse Learning Academy
Employment Application
Full Name: Cell Ph:
Current Address _________________________________________________DOB: _________________
Soc. Sec#: __________________________Driver’s License#:____________________Expiration Date:_______
Email: ____________________________________________
Names you have gone by in the past________________________________
States you have lived in last 5 years besides MN (Include Address):______________________________________________
Thank you for choosing Lighthouse Learning in your career path. We are dedicated to hiring professionals who are energetic, motivated, and possess integrity. Lighthouse Learning is an Equal Opportunity Employer. Applicants must show they understand and are able to meet the following requirements for employment by initialing each item below.
High School Graduate or G.E.D recipient
United States Citizen, or legally authorized to work in the United States
Will provide Social Security Card or Birth Certificate or Driver’s license
Will submit to drug and alcohol testing as required
Will complete a background check
Physically able to safely supervise young children and perform necessary job functions
Will maintain professional appearance and conduct at all times
Will Finish any necessary training including Parent Aware, CPR and First Aid
GENERAL INFORMATION
Employment Desired: ____Full-time only ___Part time only ____Full or Part time _____ On Call
Position Desired: ___________________________Hourly Rate Desired: ____________________________
Hours available: Mon: __________ Tues: __________ Wed: ___________ Thurs: __________ Fri: ______
Are you seeking temporary or permanent work? _________________________
3 PERSONAL REFERENCES (do not list family)
Name
Address
Phone Number
Relationship (ie. Coworker, friend)
EDUCATIONAL EXPERIENCE
High School attended/address/year graduated_______________________________________________
College attended/Degree or number years of completed/Major_____________________________
Child Development Associate Certification___________________________________________________
List courses completed or relevant childcare training (CPR, First Aid, Child Development, etc.):_______________________
List other skills, vocational, and technical training____________________________________
EMPLOYMENT HISTORY (begin with most recent)
Begin/End Date
Begin/End Salary
Employer/Address
Supervisor’s Name & Ph:
Your title and duties
Reason for leaving
OFFENSES – Criminal background checks will be conducted on all applicants.
Have you ever pled guilty, no contest or been convicted of any criminal offense? If yes, explain: ________________________________________________________________________________________
Has a report of maltreatment ever been made against you? If yes, explain: _________________________________________________________________________________________
While employed in a childcare program, have you ever been the subject of disciplinary action or been responsible for a child care facility receiving an administrative or disciplinary action? If yes, explain: __________________________________________________________________________________________
Background Study Form (Personal Information)
Race_____________ Eye Color__________
Hair Color__________Weight________________
Height______________ Place of Birth_____________
Office Use only
Date Submitted: Time: Position: Director Proceed + or - Interview:
Date Hired: Certificate for Education