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Currently Employed*

Education

High School

College

Certifications

Are you CPR or First Aid Certified

Former Employers

List last three employers, starting with most recent

Employer 1

Employer 2

Employer 3

References

List below the names of three persons (not related to you) whom you have known at least one year.

Reference 1

Reference 2 

Reference 3

Childcare Experience

State fully your childcare experience to include work in licensed childcare centers, public or private schools, recreation programs, volunteer work, or as a registered family childcare provider. Student teaching or supervised practicum experience may be included

General Information 

Resume*

Authorization

By entering my name/date below and submitting this application, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.



I also understand and agree that no representative of the company 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, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

Legacy Christian Academy is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, national origin, age, sex, religion, disability, sexual orientation, marital status, military or veteran status, gender identity or expression, or any other basis protected by local, state, or federal law.

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