top of page

Employment Application

Full Name

Phone Number

Complete Address with City and Zip Code

Date of Birth

Click all that apply

When is the best time to call you

Do you have experience cooking for more than 10 people? If so, explain

Give an example of a lunch menu that you believe would be best for a 3 year old

Are you able to stand on your feet and be active for 7 hours a day?

Are you comfortable with technology such as a tablet?

To work in a child care facility, you must pass a background check. Is there anything on your background that may come up? If so, please explain.

In order to do a background check, please provide the following State Licensed Identification Number: (Driver’s License)

What State was your Identification from



Eye Color

Hair Color

City and State of Birth


Do you have children that would attend the child care center? Please give their names and date of birth

bottom of page