Employment Application

Applicant Information

Full Name: / Date:
Last / First / M.I.
Address:
Street Address / Apartment/Unit #
City / State / ZIP Code
Phone: / () / E-mail Address:
Date Available: / Social Security No.(obtain at time of employment): / Desired Salary: / $
Position Applied for:
Are you a citizen of the United States? / YES / NO / If no, are you authorized to work in the U.S.? / YES / NO
Full time or Part-time? / Full / Part
Have you ever been convicted of a felony? / YES / NO
If yes, explain:

Education

High School: / Address:
From: / To: / Did you graduate? / YES / NO / Degree:
College: / Address:
From: / To: / Did you graduate? / YES / NO / Degree:
Other: / Address:
From: / To: / Did you graduate? / YES / NO / Degree:

References

Please list three professional references.
Full Name: / Relationship:
Company: / Phone: / ()
Address:
Full Name: / Relationship:
Company: / Phone: / ()
Address:
Full Name: / Relationship:
Company: / Phone: / ()
Address:

Previous Employment

Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:
May we contact your previous supervisor for a reference? / YES / NO
Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:
May we contact your previous supervisor for a reference? / YES / NO
Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:
May we contact your previous supervisor for a reference? / YES / NO

Educational Philospohy

Please describe your past experiences in working with young children?
What do you feel are the three most important characteristics of an educator of children 0 to 3 years old?
Please describe your beliefs about education of the young child.
What method of discipline have you found most successful in dealing with young children?
Please describe
Describe you education, experience, and/or understanding about Montessori education
Professional Philosophy:
Describe environmental characteristics that are important to you in regards to a place of employment
When considering employment, are you looking for a long-term position with growth opportunities within the school, or a short-term position while you discover your employment path?
What support systems or other requirements do you desire/require from your employer or manager?
Describe how you deal with conflict between yourself and your co-workers
Have you ever been fired from a place of employment? If so, please describe why
Please rate the following about yourself: (5 being the highest)
Initiative / 1 / 2 / 3 / 4 / 5
Flexibility / 1 / 2 / 3 / 4 / 5
Nurturing / 1 / 2 / 3 / 4 / 5
Observant Ability / 1 / 2 / 3 / 4 / 5
Creativity / 1 / 2 / 3 / 4 / 5
Commitment / 1 / 2 / 3 / 4 / 5
Professionalism / 1 / 2 / 3 / 4 / 5
Team Player / 1 / 2 / 3 / 4 / 5
Responsibility/Work Ethic / 1 / 2 / 3 / 4 / 5
Punctuality / 1 / 2 / 3 / 4 / 5

Disclaimer and Signature

By the signature below, I verify that the information contained herein is correct. I further authorize investigation of all statements contained in this application and understand that misrepresentation or omission of facts called for is cause for dismissal. Specifically, I understand that, as required by the state of Colorado, a background check will be performed through the Central Bureau of Investigation (CBI), and if I have lived in Colorado for less than two years, a FBI background check will be performed.
Any applicant who knowingly or willfully makes a false statement of any material fact of thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.
Signature: / Date:

Sunflower Montessori School is an equal opportunity employer, which does not discriminate on the basis of race, color, national and ethnic origin or religions in the administration of its educational or organization policies.

As notification, the following items will be required prior to any start date:

Three letters of reference

Fingerprinting

TB test

Medical statement from a licensed physician verifying good mental, physical, and emotional health appropriate for the position being hired.

Copy of driver’s license

Copy of social security card OR copy of passport