Job Application Job Application Please fill in as much information as possible to apply for a career at Early Childhood Alliance. Items marked with an * are required. Step 1 of 6 16% I am applying for...*If applying for a position other than teacher, select Other then entre the desired position. A Teacher Position Personal InformationName* First Middle Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code How many years have you been at your current place of residence*Phone Number*Email* The last four (4) digits of your Social Security Number (SSN)* Your birth month and day* Please do not include your year of birth, just month and day. General InformationHave you ever applied for employment with us?* Yes No If Yes, when?* MM slash DD slash YYYY Desired Pay/Compensation*Please provide a range.I am looking to work...* Full-Time Part-Time What days of the week are you willing to work?* Monday Tuesday Wednesday Thursday Friday Check all that apply.I would like to work from* Enter your desired, daily start time.I would like to work till* Enter your desired, daily end time.If asked, will you work over-time?* Yes No When will you be able to begin work?* MM slash DD slash YYYY Are you a U.S. citizen or alien authorized to work in this country?* Yes No Are you 18 years of age or older?* Yes No Employment HistoryPlease enter employment information for Company 1Company Name Company Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Title DescriptionHourly PayReason for leaving Is it okay if we contact this employer? Yes No If no, please explain Please enter employment information for Company 2Company Name Company Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Title DescriptionHourly PayReason for leaving Is it okay if we contact this employer? Yes No If no, please explain Please enter employment information for Company 3Company Name Company Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Title DescriptionHourly PayReason for leaving Is it okay if we contact this employer? Yes No If no, please explain Please enter employment information for Company 4Company Name Company Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Title DescriptionHourly PayReason for leaving Is it okay if we contact this employer? Yes No If no, please explain EducationCollege InformationMy current education includes...* High School Diploma or GED Associate's Degree Bachelor's Degree Master's Degree CDA Some college credits College Name* Location* Years Completed*Please enter numbers onlyMajor* High School InformationHigh School Name Location Years CompletedPlease enter numbers onlyDiploma Other TrainingProvide information regarding other training you have achieved Military RecordBranch of ServiceNot ApplicableAir ForceArmyCoast GuardMarine CorpsNavyActive From MM slash DD slash YYYY Active To MM slash DD slash YYYY Discharge Date MM slash DD slash YYYY DutiesTrainingPhysical LimitationsAre there any tasks that you cannot perform due to physical limitations?* Yes No If Yes, please explain* MiscellaneousProfessional or Civic Organization MembershipsPlease exclude those that may disclose race, religion, or national origin.Where did you find out about this job?*Please select oneAscendClassifiedsCraigslistECA's WebsiteFriend's ReferralGoogle SearchJob FairJob Search WebsiteOtherI was referred to Early Childhood Alliance by... Enter the name of the person who referred you to our organization so we may thank them.If Other, please describe* AttachmentsAttach your resume, cover letter, and/or references here Drop files here or Select files Max. file size: 50 MB, Max. files: 5. AgreementsI will provide personal references upon request.* I agree I hereby declare that the information provided by me in this application to be true, correct, and complete to the best of my knowledge. I understand that if employed, any misstatement or omission of fact on this application shall be considered cause for dismissal.* I agree I have and understand the privacy policy.* Yes PhoneThis field is for validation purposes and should be left unchanged.