LifeHope Childcare Employment Application

Your name *

Email address *

Address *

Phone Number *

Have you lived in any other states besides Florida in the past 5 years? *

Position Interest- Check all that apply *

This part-time position is two afternoons per week- Mondays and Fridays, with availability between 12:15pm until 6:00pm.

Describe any previous daycare experience you have, including the ages you served, and duties you performed. *

How did you hear about this position? *

We are open from 7:15 a.m. until 6:00 p.m. What is your availability on Monday? *

Tuesday *

Wednesday *

Thursday *

Friday *

Highest Level of Education *

Degree Earned

Have you completed the 45 DCF Hours required for childcare? *

Are you CPR/First Aid Certified? *

Employment

Please begin with your current, or most recent employment history.

Employment #1 *

Current Employment

Past Experience

Company *

Position *

Length of Employment *

Position Description *

Employment #2

Current Employment

Past Experience

Company

Position

Length of Employment

Position Description

Employment #3

Current

Past Experience

Company

Position

Length of Employment

Position Description

Employment #4

Current

Past Experience

Company

Position

Length of Employment

Position Description

Why do you feel you are called to serve in this capacity?

What is your connection to Northland (include history, volunteer/serving)? Please include a Northland reference, if any. *

What do you think are the key components in holistically serving families in need? *

References

Please include references below. They will only be contacted when you are offered a conditional employment offer.

Professional Reference #1 *

Position *

Email *

Phone Number *

Professional Reference #2 *

Position *

Email *

Phone Number *

Spiritual/ Personal Reference #1 *

Relationship *

Number of Years Known *

Email *

Phone Number *

Spiritual/ Personal Reference #2 *

Relationship *

Number of Years Known *

Email *

Phone Number *