Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

From

MM

DD

YYYY

To

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

From

MM

DD

YYYY

To

MM

DD

YYYY

When?

MM

DD

YYYY

When?

MM

DD

YYYY

Arts & Crafts

Drama

Nature Study

Finger Plays

Science

Storytelling

Musical Instruments (please list)

Children's Literature

Technology (Please list apps, knowledge base & platforms)

CPR/First Aid/AED

Abusive Head Trauma

SIDS

An Introduction to Early Childhood Education

Infant and Toddler Care

The Early Childhood Teacher

Others

If offered a position at BBC, which age group would you prefer working with? *

Check all that apply.

6 weeks - 1 year

1 year - 2 years

2 years- 3 years

3 years - 4 years

4 years - Kindergarten

School age, before/after school & summer

When could you start work with us? *

MM

DD

YYYY

Are you available: *

Full Time

Part Time

Split Shift

Temporary

I certify that answers given in this application are true and complete to the best of my knowledge. I authorize investigation into all statements I have made on this application as may be necessary for reaching an employment decision. As a condition of my employment, I accept the principle that the welfare of Faith Christian Church of Mauston, Inc. and Bright Beginnings Childcare (FCC~BBC) depends upon the conduct and honesty of its employees and the trust and confidence of our customers and the public in general. FCC~BBC expects honesty, security and confidentiality. I therefore agree to the following: I agree to give no unauthorized information relative to the accounts of FCC~BBC or its relation with others, and to discuss no matters of confidential nature relating FCC~BBC’s affairs unless such discussion is in the necessary course of FCC~BBC’s business and is in accordance with FCC~BBC’s policy. I also agree to inform the management of FCC~BBC, without delay, of any fraud, false entry, substantial error, embezzlement or employee misconduct, which I discover or know to have taken place in any records, property or funds of FCC~BBC, and to report any transaction or matter that seems damaging to FCC~BBC. In the event I am employed, I understand that any false or misleading information I knowingly provided in my application or interview(s) may result in discharge and/or legal action. I understand also that if employed, I am required to abide by all the rules and regulations of FCC~BBC and any special agreements reached by FCC~BBC and me. In the event I am employed, I understand that BBC hires at a training wage until the estimated orientation/training time is completed (up to 2 weeks). The expenses related to the orientation/training process is equal to or more than wages covered in the days of training. If for some reason, I do not continue with training/employment after the training is completed, the expenses related to training will be deducted from my pay. (i.e. employee physical, certification manuals, uniform, etc). This application shall be considered active for no more than 45 days. After that time, applicants will be required to resubmit a completed application. The applicant understands that neither this document nor any offer of employment from FCC~BBC constitutes an employment contract unless a specific document is executed in writing by FCC~BBC and employee. Any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon. Unless a specific document is executed in writing by FCC~BBC and employee, all employment here is “at-will.” Just as an employee may resign for any reason he/she has, FCC~BBC may also terminate an employee for any reason. *

I agree

I disagree