Doodle Bugs

Doodle Bugs! Employment Application - Center Positions

It is the policy of Doodle Bugs! to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

Please complete every section of this application. Incomplete applications will not be reviewed.

Applicant	First Name*
	Last Name*
	Last Four Digits of Social Security Number*
	Email Address*
Present Address	Address*
	City*
	State*
	Zip*
	Telephone*
Permanent Address (if different)	Address
	City
	State
	Zip
	Telephone
Employment Eligibility	Are you legally employable within the United States at the present time?*	Yes No
In accordance with New York OCFS Law, each applicant is required to complete a criminal conviction statement upon hiring. Persons convicted of certain criminal offenses may be barred from employment in a child care center. Answering YES may not necessarily disqualify an applicant from employment.	Have you ever been convicted of a crime?*	Yes No
	If you answered yes to the above question, please describe details of crime.
General Questions	Have you ever applied here before?*	Yes No
	If you answered yes to the above question, please indicate last application date.
	Were you ever employed by Doodle Bugs! in the past?*	Yes No
	If you answered yes to the above question, please indicate which center and time period.
	How were you referred here?*
	If referred by friend/employee, please provide their name:
Desired Employment	Position Applying For*
	If the above position is not available, would you consider another position? If so, please list.
	Employment Type*
	Salary Desired*
	Location Desired*
	Date Available To Start*
	We are open Monday-Friday, from 6:30am to 6:30pm. Please indicate the days and times which you are available to work*:
Previous Employers Starting With Current or Most Recent	Dates Employed
	Company Name
	Address
	Telephone
	Supervisor
	May we contact your Supervisor?	Yes No
	Duties
	Beginning Salary
	Ending Salary
	Reason For Leaving
Other Employer	Dates Employed
	Company Name
	Address
	Telephone
	Supervisor
	May we contact your Supervisor?	Yes No
	Duties
	Beginning Salary
	Ending Salary
	Reason For Leaving
Other Employer	Dates Employed
	Company Name
	Address
	Telephone
	Supervisor
	May we contact your Supervisor?	Yes No
	Duties
	Beginning Salary
	Ending Salary
	Reason For Leaving
Previous Unemployment Starting With Most Recent Period	Date Unemployment Began
	Date Unemployment Ended
	Reason for Unemployment
*Other Period*	Date Unemployment Began
	Date Unemployment Ended
	Reason for Unemployment
	Are you currently on "layoff status" and subject to recall?*	Yes No
Education Background	High School*
	Did you Graduate?*
	Major, if any
	College/University/Technical School
	Address
	Did you graduate?
	If still in college, which courses are you presently taking?
	College Major, if any
	College Minor, if any
	Professional Licensure/Certifications (include CPR/First Aid)
	Special Skills
References (Please list 3)	Name*
	Address*
	Telephone*
*Second Reference*	Name*
	Address*
	Telephone*
Third Reference	Name*
	Address*
	Telephone*
Questionnaire Please complete the following sentences. There are no right or wrong answers.	Teachers needs....*
	A child feels happy when....*
	Children are wonderful and....*
	In talking to parents, you should....*
Please answer the following questions. There are no right or wrong answers.	What role should parents play in a child care program?*
	How do you feel about parents who work and leave their children in daycare?*
About You On a scale of 1 to 10, please indicate the level which best describes you.	Are you conscious of your strengths and weaknesses?*
Never Sometimes Always	Are you confident?*
1 2 3 4 5 6 7 8 9 10	Do you have a sense of humor when things go wrong?*
	Are you flexible in the workplace?*
	Are you organized?*
	Do you take responsibility for your own actions?*
	Do you enjoy working with a team to get the job done?*
	Do you maintain honesty & integrity in your life?*
	Do you take initiative in your life?*
	Do you try to anticipate parents' & children's needs?*
Never Sometimes Always	Do you communicate effectively?*
1 2 3 4 5 6 7 8 9 10	Can you problem solve without reacting emotionally?*
	Do you remain positive in a negative situation?*
	Do you guide & inspire others in the workplace?*
	Are you creative?*
	Are you dependable?*
	Any additional comments?
Certification of This Application By submitting this Application, I certify that the information provided on this Application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination. I authorize Doodle Bugs! to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If an employment relationship is created, the employment relationship will be entirely voluntary in nature. In other words, with appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer would have the same right. Moreover, no agent, representative, or employee of Doodle Bugs!, except in a specific written contract of employment signed on behalf of the organization by its President has the power to alter or vary the voluntary nature of the employment relationship.