Careers – Elaine Rosi Academy for Children

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Phone *

Email *

Position you are applying for *

Lead Teacher
Assistant Teacher
Custodial/Maintenance
Other

I am seeking *

Full time employment
Part time employment

Are you legally entitled to work in the United States? *

Are you 18 years of age or older? *

How were you referred to Elaine Rosi Academy?

Is there anything that would prevent you from performing, in a reasonable and safe manner, the essential functions of the position for which you have applied? *

If yes, please explain.

Are you willing to drive in all inclement weather? *

Whom should we contact in case of emergency? *

Emergency Contact Phone Number *

The post employment requirements of Elaine Rosi Academy are to have a physical by a doctor and a TB test within 30 days of employment. Two Hepatitis A vaccinations are also required by Elaine Rosi Academy, the first is required to be done within two weeks of employment and the second is due 6 months to 1 year after. All costs for these requirements will be covered by the employee. *

I Understand

If your application is considered favorable, on what date can you start work? *

Employment History (most recent first)

Please list the most recent position first.

Job Title *

Start Date *

End Date *

Employer Name *

Employer Address *

Address Line 1

City

State

Zip Code

Employer Phone *

May we contact them? *

Beginning hourly wage *

Ending hourly wage *

Reason for leaving? *

Do you have additional employment history you would like to add? *

Job Title

Start Date

End Date

Employer Name

Employer Address

Address Line 1

City

State

Zip Code

Employer Phone

May we contact them? (copy)

Beginning hourly wage

Ending hourly wage

Reason for leaving?

Education

High School

Address Line 1

City

State

How many years attended?

Did you graduate?

Would you like to add any College Education information?

College

Address Line 1

City

State

How many years attended?

Did you graduate?

Degree or Field of Study

Additional Education information

Include any courses you are currently studying or any other degrees or certifications.

Are you certified in Early Childhood Education? *

Are you certified in Primary Education? *

Because we are a Missouri Licensed Child Care Center, answers to the following will be helpful:

Have you ever been convicted of a felony? (Convictions will not automatically disqualify a job candidate. The seriousness of the crime and date of conviction will be considered.) *

Have you ever been convicted of a felony? If Yes, please describe.

Will your background check come back clear from the Missouri Department of Health and Senior Services? *

If no, please explain.

Please list any special interests or hobbies, especially any that may benefit or be of interest to our children.

How long have you been doing maintenance/custodial work?

Please check any custodial/maintenance areas you have experience with:

Strip & Wax
Floor Buffing
Auto Scrubbers
Carpentry
Plumbing
Light Electrical
Lawn Mowing/Maintenance
Painting
Special Event Set-up

Please list any additional areas of experience:

References

Please list at least one personal and one professional.

Personal Reference Name *

Personal Reference Relationship *

Personal Reference Phone *

Professional Reference Name *

Professional Reference Relationship *

Professional Reference Phone *

Other Reference Name

Other Reference Relationship

Other Reference Phone

Resume Upload

Click or drag a file to this area to upload.

Please use this file to submit a resume in one of the following formats: .pdf .doc .docx .rtf

I hereby certify that all information on this application is current and correct. *

I Agree