Little Sprouts Job Application
Position Desired:
First and Last Name:
Street Address:
City:
State:
Zip:
Home Phone:
Alternate Phone:
Email:
On what date are you available to start work?
Check the type of employment desired:
Full Time:
Part Time:
Substitute_Floater:
If part-time, check the days and time of day you are available to work:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Mornings:
Afternoons:
Other:
What is your desired annual salary?
Please check which centers you are willing to work at:
Andover:
Haverhill:
Lawrence:
Lowell:
Methuen:
Roxbury:
Westford:
Are you a citizen of the U.S. or legally able to work in the U.S.?
Yes
No
Are you over the age of 16?
Yes
No
Are you a previous employee?
Yes
No
If yes, please list the center, position, and supervisor:
Are you a previous applicant?
Yes
No
If yes, when did you last apply?
Are you EEC (Formerly OCCS) Teacher Qualified?
Yes
No
If yes, what specific certificates do you have?
Are you First Aid Certified?
Yes
No
If yes, when does your certificate expire?
Are you CPR Certified?
Yes
No
If yes, when does your certificate expire?
Have you ever been convicted of a crime or a DSS or EEC allegation?
Yes
No
If yes, please explain:
Are you currently under investigation by DSS, EEC, or any other agency?
Yes
No
If yes, please explain:
Use 3 words to describe your teaching style:
What importance do these three words play in your teaching of young children?
What makes a successful early education program?
What areas of expertise and additional skills can you bring to Little Sprouts?
Please Attach Resume:
(.PDF or .DOC files preferred)
Attachment (optional)