Apply – Carpinteria Children's Project

Personal Information

in the ECE

Name

First

Middle

Last

Home phone number

Cell phone number

Present address

Address Line 1

Address Line 2

City

State

Zip Code

Email address

If you are not a U.S. citizen, have you the legal right to work in the United States?

Yes
No

Can you perform the functions of this job with or without reasonable accommodation?

Yes
No

Can you perform the functions of this job with or without reasonable accommodation?

Full-time
Part-time
Substitute

Position for which you are applying

Associate teacher
Job title 2
Job title 3

Educational Experience

Official transcripts are required prior to final salary determination

Name of institution

City and state

Number of years completed

Diploma/degree or courses taken

Teaching Permits

(If applicable)

Specific title of California ECE permit

Expiration

Total years of full-time, paid teaching or child care experience (excluding student teaching)

Have you ever filed an application with us before?

Yes
No

What was the position?

When did you apply for that position?

Has your permit ever been suspended, revoked, voided, denied or otherwise rejected for cause?

Yes
No

Have you ever been dismissed or not reemployed in any probationary or permanent teaching position?

Yes
No

Have you ever resigned or left a position to avoid investigation for alleged misconduct and/or dismissal?

Yes
No

Have you ever plead guilty or been convicted of a criminal offense (state law requires that all applicants prior to employment be fingerprinted and prohibits the employment of any person convicted of a violent or serious felony or certain sex and drug offenses. You do not need to include arrests without convictions, misdemeanor convictions for marijuana-related offenses that are more than two years old, convictions that have been sealed, expunged or legally eradicated, and misdemeanor convictions for which probation was completed and the case was dismissed, or any arrest, detention, processing, diversion, supervision, adjudication or court disposition that occurred while you were subject to the process and jurisdiction of juvenile court law.

Yes
No

If you answered yes to any of the previous four (4) questions, please give a complete and accurate explanation of the circumstances (when, where, why). An answer of yes will not necessarily disqualify you from the position for which application is made, but any failure to respond completely and accurately may result in your not being employed, or if discovered after employment, your dismissal.

Employment Experience

List all employment experience including significant volunteer work, student teaching, and military experience. Begin with your most recent experience. If necessary, use an additional sheet of paper to describe additional positions and/or your duties.

A resume is not sufficient. A resume is considered a supplement to your application.

From / to

Job title

Employer

Employer phone number

References

List names, addresses, and telephone numbers of three (3) references, other than relatives, who have supervised your work, including your most recent supervisor.

I hereby authorize the Carpinteria Children's Project to contact the following people regarding previous jobs

Please provide your initials

Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Languages

Languages you read, write, and speak fluently

Records and Drivers Licensing

Do you have a valid California driver's license?

Yes
No

Emergency Contact

Please provide the name, address, telephone number, and relationship of person to be notified in case of accident or emergency.

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Relationship of person

Signature

I hereby certify that all statements made herein are true and correct to the best of my knowledge and authorize investigation of all statements herein recorded and I understand that I release from all liability all persons and organizations reporting on information included in this application and/or my qualifications for the position applied for. Any misstatements or omissions of material facts in this application is cause for dismissal.

Please provide your initials

If I become employed, I agree to abide by the rules, regulations, policies and procedures of this organization.

Please provide your initials

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is “at will” and for no definite or determinable period and may be terminated at any time, with or without cause or prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the company’s designated representative.

Please provide your initials

I also understand that all other offers of employment are conditioned on the company’s receipt of satisfactory responses to reference requests and the provision of satisfactory proof of an applicant’s identity and legal authority to work in the United States. Offers of employment are also conditioned on the satisfactory completion of a post-offer medical examination and drug test.

Please provide your initials

Signature

Please write out your full name

Date

Notice to all applicants

The Carpinteria Children’s Project complies with the rules and regulations contained in Title VII of the Civil Rights Act of 1964. Title II of the Educational Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, respectively. The Carpinteria Children’s Project wishes to inform all individual and organizations that the Project does not discriminate on the basis of sex, race, color, religious creed, national origin, ancestry, age over 40, marital status, pregnancy, physical or mental ability, medical condition, Vietnam era veteran status, actual or perceived sexual orientation, or any other reason prohibited by State and Federal Law.

Stay in the know

Personal Information

Educational Experience

Teaching Permits

Employment Experience

References

Languages

Records and Drivers Licensing

Emergency Contact

Signature

Notice to all applicants