Career

Personal

Name

First Middle Last

Date of Birth

Address

Street Address City State ZIP Code

Phone(s)*

Email*

Enter Email Confirm Email

What is the best way to contact you?

Phone
Email

Social Security Number (last 4 digits)

Are you authorized to work for wages in the United States?

Yes
No

If you answered “Yes”, you will be required to present documentation showing your employment authorization and identity. If you answered “No”, you are not eligible for employment with The Sunflower School.

Have you ever been convicted of a criminal offense?

Yes
No

If “Yes”, state nature of conviction*

In accordance with the Office of Child Care Services regulations, a relevant criminal offender record check will be conducted for all employees who will have unmonitored contact with children.

Resume

If you have a resume you would like to attach, you can upload it using the area below.

File

Drop files here or

Max. file size: 2 MB.

Work Desired

Date available

Availability

Full-Time
Part-Time
Temporary

Specify Hours and Days*

Specify Availability (from - to)*

Age group (please check as many as you’re interested in)

Infants
Toddler
Preschool
Pre-Kindergarten

Education

List all Education you would like considered in the evaluation of your application.

1

School/Location

Dates of Attendance

Type of Degree

Year

Relevant Courses

2

School/Location

Dates of Attendance

Type of Degree

Year

Relevant Courses

3

School/Location

Dates of Attendance

Type of Degree

Year

Relevant Courses

Certification

Do you hold an EEC certificate?

Yes
No

Level

Certificate #

Other professional education (seminars, etc.)

Membership in professional organizations

List any additional skills you consider important

Work Experience/References

Have you ever worked for The Sunflower School?

Yes
No

When?*

Position held*

Immediate Supervisor*

Reason for leaving*

List any relatives who currently work for The Sunflower School

List most recent employer first. Include military service if among last four jobs. You may list volunteer experience in addition to paid work experience. (Write “V” in salary column.)

1. Employer

Address

Street Address City State ZIP Code

Phone

Dates Employed (from - to)

Job Title

Supervisor’s Name/Job Title

Primary Job Duties

Final Salary ($)

Reason for Leaving

May we contact for a reference?

Yes
No

Please explain why*

2. Employer

Address

Street Address City State ZIP Code

Phone

Dates Employed (from - to)

Job Title

Supervisor’s Name/Job Title

Primary Job Duties

Final Salary ($)

Reason for Leaving

May we contact for a reference?

Yes
No

Please explain why*

3. Employer

Address

Street Address City State ZIP Code

Phone

Dates Employed (from - to)

Job Title

Supervisor’s Name/Job Title

Primary Job Duties

Final Salary ($)

Reason for Leaving

May we contact for a reference?

Yes
No

Please explain why*

4. Employer

Address

Street Address City State ZIP Code

Phone

Dates Employed (from - to)

Job Title

Supervisor’s Name/Job Title

Primary Job Duties

Final Salary ($)

Reason for Leaving

May we contact for a reference?

Yes
No

Please explain why*

I have read all sections of this application and authorize verification of my statements. I understand that misrepresentations may be considered cause for rejection in the hiring process or termination of employment. I further understand my employment may be subject to a physical examination, favorable references, documentation of my right to work in the U.S., and criminal offender record check where required. In consideration of my employment, I agree to conform to the rules, procedures and regulations of The Sunflower School. I understand that my employment and compensation can be terminated with or without cause, and with or without notice, at any time, at the option of either the Company or myself. I understand that no representative of The Sunflower School has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.

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Phone

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Personal

Resume

Work Desired

Education

Certification

Work Experience/References

Interested?