Name: Today's Life Schools & Child Care
Address: 9995 Xenia Ave N, Brooklyn Park, MN, 55443
Price range: $ – $$$

Personal Information
First Name
Middle Name
Last Name
Mailing Address
City
State
Zip Code
Phone Number
Email Address
Are you eligible to work in the United States?
- No
- Yes
State your age if you are under 18 or older than 70
What method of transportation will you use to get to work?
What position(s) are you applying for?
Which Location are you applying for?
What is your expected rate of pay?
Would you work . . .
- Full Time
- Part Time
Specify days and hours if part time
Were you previously employed by us?
- No
- Yes
If so, when?
If your application is considered favorably, on what date will you be able to start?

Your Education
Name & Address of High School
Last Year Completed
List Diploma or Degree
Did You Graduate?
- No
- Yes
Name & Address of College
Last Year Completed
List Diploma or Degree
Did You Graduate?
- No
- Yes
Name & Address of Other
Last Year Completed
List Diploma or Degree
Did You Graduate?
- No
- Yes

Personal References

Please do not include any employers or relatives.
Name
Occupation
Maling Address
City
State
Zip Code
Phone Number
Relationship to you
Personal Reference 2
Name
Occupation
Maling Address
City
State
Zip Code
Phone Number
Relationship to you
Personal Reference 3
Name
Occupation
Maling Address
City
State
Zip Code
Phone Number
Relationship to you

Present & Past Employment Information

Please begin with your most recent employer.
Employer 1
Name and Address of Company
Type of Business
Date Employed From
MM slash DD slash YYYY
to
MM slash DD slash YYYY
Starting Salary
Ending Salary
Name of Supervisor
Phone Number
Reason for Leaving
Employer 2
Name and Address of Company
Type of Business
Date Employed From
MM slash DD slash YYYY
to
MM slash DD slash YYYY
Starting Salary
Ending Salary
Name of Supervisor
Phone Number
Reason for Leaving
Employer 3
Name and Address of Company
Type of Business
Date Employed From
MM slash DD slash YYYY
to
MM slash DD slash YYYY
Starting Salary
Ending Salary
Name of Supervisor
Phone Number
Reason for Leaving
Employer 4
Name and Address of Company
Type of Business
Date Employed From
MM slash DD slash YYYY
to
MM slash DD slash YYYY
Starting Salary
Ending Salary
Name of Supervisor
Phone Number
Reason for Leaving

Please submit any additional documentation you would like us to review as part of your application. This may include a letter of application, resume or other documents.
Acceptable file formats: .pdf .doc .docx .zip
Accepted file types: pdf, doc, docx, Max. file size: 1 GB.
Accepted file types: pdf, doc, docx, Max. file size: 1 GB.
Accepted file types: pdf, doc, docx, Max. file size: 1 GB.
Please read carefully before submitting your application By submitting this application to Today's Life Schools and Child Day Care, you assert that you have read this page of information and agree with all statements contained within. Prior to employment, teachers and assistant teachers must submit documentation verifying their qualifications for the position. All employees are required by DHS (MN State regulatory agency) to complete in-service training on an annual basis. All employees are subject to full background studies, conducted by the DHS. The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigative or credit agencies or bureaus of your choice. In making this application for employment, I authorize you to make an investigative consumer report whereby information is obtained through personal interviews with my neighbors, friends or others with whom I am acquainted. This inquiry, if made, may include information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of any such investigative report that is made. I agree to work the hours, days and shifts as needed. I will work in another area or classification, if requested to do so, and will abide by the rules and regulations of Today's Life Schools & Child Day Care.
You acknowledge that typing your name below is a legal and binding electronic signature.
Type Full Legal Name
Date Application Submitted
MM slash DD slash YYYY
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Personal Information

Your Education

Personal References

Personal Reference 2

Personal Reference 3

Child Care Experience

Present & Past Employment Information

Please begin with your most recent employer.

Employer 1

Employer 2

Employer 3

Employer 4

Acceptable file formats: .pdf .doc .docx .zip

You acknowledge that typing your name below is a legal and binding electronic signature.