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Employment Application
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Employment Application
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Knox County Head Start (KCHS) is an equal opportunity employer; KCHS has an Anti-Discrimination policy and complies with all state and federal laws. Employment decisions, terms of employment, enforcement of policies, dispute resolution, and all KCHS management practices and decisions are made without regard to age, sex, race, color, religion, national origin, disability, marital or veteran status, or any other mandated protected status.
Personal Information
Job Applying For
*
Name
*
First
Last
Maiden/Alias
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Primary Phone
*
Secondary Phone
Email
Do you have a valid driver's license?
Yes
No
License Number and Class
Preferred Salary
*
Date available to start work
*
What type of work are you looking for?
*
Full Time
Part Time
Substitute
High School Education:
*
No
Yes
In accordance with ODJFS Rule 5101:2-12-25(B): "A child care staff member shall be at least 18 years of age and have completed a high school education." Do you meet this requirement? (Verification will be required upon employment.)
Have you ever filed an application with us before?
*
No
Yes
If YES, give date(s):
List any relatives employed by us:
List any friends employed by us:
Are you currently employed?
*
No
Yes
May we contact your present employer?
*
No
Yes
Are you prevented from lawfully becoming employed in this country because of immigration status?
*
No
Yes
Are you a former Knox County Head Start student?
*
No
Yes
Are you a Knox County Head Start parent?
*
Never
Current
Former
Are you a Knox County Head Start grandparent?
*
Never
Current
Former
Have you ever been convicted of or pleaded guilty to child abuse or any crime(s) of violence or had a child removed from your home as described in Section 2151:353 of the Ohio Revised Code?
*
No
Yes
In accordance with Head Start Program Performance Standards, Subpart D [45 CFR 1301.31(b) (2)]: Please list all pending and prior criminal arrests and charges related to child sexual abuse and the disposition thereof:
Please list all convictions related to other forms of child abuse and neglect:
Please list all convictions of violent felonies:
How did you hear abous KCHS?
*
Newspaper ad
Website
Social Media
Radio ad
Word of Mouth
Friend/relative referral
Head Start Teacher
Other
Select all that apply
Next
Education and Background
High School
*
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Did you graduate?
*
No
Yes
If YES, graduation date:
GED
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Did you graduate?
No
Yes
If YES, graduation date:
College
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Did you graduate?
No
Yes
If YES, graduation date:
Degree Received
Major
Additional School/College
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Did you graduate?
No
Yes
If YES, graduation date:
Degree Received
Major
Please list any professional licenses, registrations and/or certifications as well as any state they were issued in, the date, and specific license number (if applicable):
Please list any foreign language skills you may possess: speaking, reading, and/or writing and list whether each is fluent, good, or fair:
Next
Military Experience
If you are/were a member of the military, please list which branch:
Service dates:
Rank at discharge:
Type of discharge:
If other than honorable, please explain:
Describe any job-related training received in the U.S. Military that might be applicable:
Next
Previous Employment
Company
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Job Title
*
Supervisor
*
Starting Salary
Ending Salary
Employment Dates
*
Describe your responsibilities:
*
Reason for Leaving
*
May we contact this previous employer for a reference?
*
No
Yes
Company
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
Job Title
Supervisor
Starting Salary
Ending Salary
Employment Dates
Describe your responsibilities:
Reason for Leaving
May we contact this previous employer for a reference?
No
Yes
Company
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
Job Title
Supervisor
Starting Salary
Ending Salary
Employment Dates
Describe your responsibilities:
Reason for Leaving
May we contact this previous employer for a reference?
No
Yes
Next
References
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
Number of Years Known
*
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
Number of Years Known
*
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
Number of Years Known
*
Upload Your Resume
Upload your resume if you wish:
Click or drag a file to this area to upload.
File types accepted: Word, PDF, JPG.
I certify that all the information furnished in this employment application is true and complete to the best of my knowledge. I understand that any misrepresentation or false information included in the application materials or provided in the interview process can lead to the withdrawal of an offer of employment or to termination from employment. I understand that Knox Country Head Start may investigate the information I have furnished. I authorize any person, firm, or organization to supply any information about me concerning any past employment, education, military status, convictions, or other information to Knox County Head Start. I understand a conditional offer of employment may be based on results of a pre-employment physical. Knox County Head Start is a Drug and Alcohol Free workplace. Individuals offered employment at Knox County Head Start will be required to successfully pass a pre-employment drug screen and may be subject to random and/or reasonable suspicion drug testing throughout the term of employment. Refusal to take or failing the drug screen, after being informed, will result in removal from employment consideration, or termination, if employed. I further understand that a conditional offer of employment may also be contingent upon Knox County Head Start obtaining information regarding my record with the Bureau of Motor Vehicles (if the position for which I am applying requires driving. Additionally, I understand that a conditional offer of employment will require that I submit to a Criminal Records check conducted by the BCI and/or FBI, prescribed by section 5104.012 O.R.C. I hereby authorize Knox County Head Start to conduct such fingerprinting procedures as part of the pre-employment process. I do hereby release Knox Country Head Start and all individuals and / or organizations contacted from all liability resulting from such investigations. I understand that nothing contained in this employment application or in the granting of an interview is intended to create a contractual relationship. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that Knox County Head Start retains a similar right.
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