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As caregivers and educators, Our Mission is to provide a safe and developmentally appropriate learning environment, which fosters a child’s natural desire to explore, discover, create, and become a lifelong learner.

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Giggles & Grace Early Learning Center
1260 SW 8th Ave
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Employment Application

Applicant Information

Last Name

First Name

Middle Initial

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

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Email Address

Phone Number

Date Available

Social Security Number

Position Applied for

Desired Salary

USD

Are you planning to take off any time in the next 90 days?

Are you a citizen of the United States?YesNo

If no, are you authorized to work in the U.S.?YesNo

Have you ever worked for this company or in child care?YesNo

If yes, when or where?

Education

High School

High School Address

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Did you graduate?YesNo

Diploma

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Did you graduate?YesNo

Degree

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Did you graduate?YesNo

Degree

References

Full Name

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Phone

Company

Street Address

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Full Name

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ZIP / Postal Code

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Full Name

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Previous Employment

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Job Title

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Ending Salary

USD

Responsibilities

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May we contact your previous supervisor for a reference?YesNo

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Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Supervisor

Website

Email Address

Job Title

Starting Salary

USD

Ending Salary

USD

Responsibilities

From

Reason for Leaving

May we contact your previous supervisor for a reference?YesNo

Company

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Supervisor

Website

Email Address

Job Title

Starting Salary

USD

Ending Salary

USD

Responsibilities

From

Reason for Leaving

May we contact your previous supervisor for a reference?YesNo

Company

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Supervisor

Website

Email Address

Job Title

Starting Salary

USD

Ending Salary

USD

Responsibilities

From

Reason for Leaving

May we contact your previous supervisor for a reference?YesNo

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Branch

Date

Rank at Discharge

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I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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