Employment Application

Our Employment Application is a two fold process. First, you fill out the online information. Then review the linkable PDF for more information.

This is the preliminary application to be filled in by a prospective job applicant.

Below this form you submit to us Electronically, is a link to more info that will be needed if you pass the preliminary application process.

Please take a look at that link so you are aware of what other forms/paperwork will be asked of you when you come in for the personal interview.

Preliminary Application Electronic Form

E-mail Address: *

Your Name *

Address - Street *

Address - 2nd Line

City *

State *

Zip Code

Best Telephone # *

Are You 18 Years of Age or Older? *

Would you need Child Care? *

Desired Position *

Date you can Start? *

Are You Employed Now? *

If Yes, Where Employed?

May we contact your current/past employers? *

Supervisor's Name?

Have you ever been convicted of a Felony? *

In the last 5 Years? *

Person to notify in Emergency? *

Relationship? *

High School Attended? *

Did you Graduate? *

College

Are You Attending College Now? *

Vocational School?

Are you Attending Voactional School Now? *

Do You have an Specialized Training

Have worked with Children in Daycare setting before? *

When & Where Daycare setting?

JOB REFERENCES

Company Name - Most Recent Job

Occupation?

Address

Telephone #

Starting Salary?

Ending Salary?

Starting Date?

Ending Date?

Job Title?

Supervisor's Name?

Reason for Leaving?

Company Name - 2nd Most Recent Job?

Occupation?

Address?

Telephone #?

Starting Salary?

Ending Salary?

Starting Date?

Ending Date?

Job Title?

Supervisor's Name?

Reason for Leaving?

Company Name - 3rd Most Recent Job?

Occupation?

Address?

Telephone #?

Starting Salary?

Ending Salary?

Starting Date?

Ending Date?

Job Title?

Supervisor's Name?

Reason for Leaving?

MILITARY RECORD

Branch of Military?

Dates of Service?

Rank at time of Discharge?

Clicking "Yes" indicates your signature and Authorization to Review/Investigate Your Application to FTLOC

* Required Free Contact Form

Here is the PDF Link to review the other forms of Information that will be required upon successful employment Screening. Please be sure you have clicked the above "Submit" button.

We will be in touch with you, once we've had a chance to review your online Employment Application.

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