Apple Ridge Academy Employment Application Survey

Applicant Information

Contact Information(Required.)

Name

Address

City/Town

State

ZIP/Postal Code

Email Address

Phone Number

Have you spoken with or been contacted by an administrator at Apple Ridge Academy already? Please indicate who you have been in touch with.(Required.)

Are you a US citizen?(Required.)

Yes

No

How did you find our company and/or job posting?(Required.)

Internet Job Posting

Current or Past Employee (please list name in comments)

Current or Past Family/Customer (please list name in comments)

Job Fair or Community Event

Other or Comments

Which location are you applying for a position at?(Required.)

Brookfield/Pewaukee

New Berlin

Open to Either Location

Hourly Wage Desired(Required.)

Employment Desired(Required.)

Part-Time

Full-Time

Open to Either

# of hours desired

Availability(Required.)

Open Availability

Limited Availability (please explain)

Are you over 18 years old?(Required.)

Yes

No

Date Available to Begin Work(Required.)

Date / Time

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

Are you able to perform the essential functions of the position you are applying for? (Note: We comply with the Americans with Disabilities Act and consider reasonable accommodation measures that may be necessary for eligible applicants to perform essential functions.)(Required.)

Yes

No

Education

Are you currently on The Wisconsin Registry?(Required.)

No

Yes. I am a level...

College Information

School Name

School Location

# of Years Completed

Degree(s) Earned

Major Field(s) of Study

College #2 Information (if applicable)

School Name

School Location

# of Years Completed

Degree(s) Earned

Major Field(s) of Study

Please list and explain any other training/education you have related to Early Childhood Education

Employment History

Please begin with your most current or most recent employer and list all positions held within the past 7 years. Also indicate any other experience which you believe is relevant to the position for which you are applying (i.e. volunteer, military service, internships, etc.)

Employer #1(Required.)

Employer Name

Address

Phone

Your Job Title

Supervisor's Name

Salary/ Hourly Wage

Dates of Employment (start/end)

Reason for Leaving (or reason for seeking a new opportunity)

Employer #2(Required.)

Employer Name

Address

Phone

Your Job Title

Supervisor's Name

Salary/ Hourly Wage

Dates of Employment (start/end)

Reason for Leaving (or reason for seeking a new opportunity)

Employer #3(Required.)

Employer Name

Address

Phone

Your Job Title

Supervisor's Name

Salary/ Hourly Wage

Dates of Employment (start/end)

Reason for Leaving (or reason for seeking a new opportunity)

Other relevant experiences. Please provide as many details as possible including names, location, dates, etc.

Periods of Unemployment

Dates

Reason

Dates

Reason

Dates

Reason

Professional References

Please list at least 3 references, other than relatives, who could speak about your professional experiences.

Reference #1(Required.)

Name

Position

Company

Address

Phone

Reference #2(Required.)

Name

Position

Company

Address

Phone

Reference #3

Name

Position

Company

Address

Phone

Reference #4

Name

Position

Company

Address

Phone

Comments

Please share with us any additional information about yourself that you would like us to take into consideration when reviewing your application.

Resume

Please attach a copy of your resume.

No file chosen

Applicant's Statement

By checking each box you are agreeing to the statements below.(Required.)

The information that I have provided on this application is accurate to the best of my knowledge and may be verified by Apple Ridge Academy representatives.

I authorize all the schools, persons and organizations named in this application to provide any relevant information in their possession or knowledge to the agents of Apple Ridge Academy, for use in deciding whether or not to offer me employment and specifically waive any required written notifications. I hereby release my former employers, Apple Ridge Academy and all other persons from any and all claims, demands or liabilities arising out of or in any way related to such inquiry.

I understand that Apple Ridge Academy is committed to maintaining a drug and alcohol free work place. I understand that if employed, I may be subject to a drug and alcohol screening if the Director of Apple Ridge Academy has reasonable suspicion to believe that I am under the influence of drugs or alcohol. My consent to submit to such a test is required as a condition of employment and my refusal to consent shall result in a refusal to hire, or if already employed, termination.

I understand and agree that any misrepresentation or omission of facts in this application will be justification for refusal or termination of employment, regardless of the time elapsed before discovery

I understand and agree that the employment for which I am applying for is at-will, and such employment may be terminated at any time with or without cause, without prior notice, by the management of ARA.

I have placed my electronic signature below only after I have completed the entire application to the best of my ability and have careful read the foregoing statements.

Electronic Signature

Please Type Your Name for an Electronic Signature(Required.)

Today's Date(Required.)

Date / Time

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

Apple Ridge Academy, LLC is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, age or disability. We assure you that your opportunity for employment with our company depends solely on your qualifications. Thank you for your interest in our organization!