Harmony Kids Application For Employment Harmony Kids Learning Center Application For Employment Your InformationPosition(s) Desired(Required) Lead Teacher Assistant Teacher Teacher Aide Kitchen Staff Custodial Staff Office Hours Desired(Required) Full Time Part Time Substitute Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Are You Authorized To Work In The United States?(Required) Yes No Are You A U.S. Citizen?(Required) Yes No Work ExperiencePrevious Employer (Most Recent)(Required) Employer Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Employer Phone(Required)Dates Employed(Required) Position & ResponsibilitiesReason For LeavingEducation & TrainingHigh School Attended(Required) Years Attended(Required) Did You Graduate?(Required) Yes No Degree Or Certificate Earned College/Trade School Years Attended Did You Graduate? Yes No Degree Or Certificate Earned Child Care Training - List Title Of Workshop Or Conference Name Of Company Sponsoring Training Date Of Training # Hours Of Training Certificate Earned Through Training ReferencesEmployment Reference 1 (person qualified to refer you for employment) First Last Address Of Employment Reference 1 Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Of Employment Reference 1Employment Reference 2 (person qualified to refer you for employment) First Last Address Of Employment Reference 2 Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Of Employment Reference 2Additional InformationWhy Are You Interested In Working At Harmony Kids Learning Center?(Required)What Qualifications Or Special Skills Make You Qualified For This Position?(Required)Are You CPR & First Aid Certified?(Required) Yes No Are You On The Sex Offender Registry?(Required) Yes No Are You On The Department Of Human Resources Child Abuse Registry?(Required) Yes No Have You Ever Been Convicted Of A Misdemeanor Or Felony?(Required) Yes No If "Yes", Please Provide Date, Incident, City, & State Of Conviction Have You Ever Been Discharged From A Position Of Employment?(Required) Yes No If "Yes", Please Explain Consent(Required) **I give former and/or current employers to provide information requested by Harmony Kids regarding my competence, performance and character. I waive any rights I may have against a person contacted as a reference regarding this application. I understand that if employed, I may be dismissed from employment if false statements are made in this application. I also understand that a criminal background check will be conducted on all employees.NameThis field is for validation purposes and should be left unchanged. Δ
