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 PositionPersonal InformationName* First Middle Last Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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?*YesNoIf Yes, when?* Date Format: 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?*YesNoWhen will you be able to begin work?* Date Format: MM slash DD slash YYYY Are you a U.S. citizen or alien authorized to work in this country?*YesNoAre you 18 years of age or older?*YesNo Employment HistoryPlease enter employment information for Company 1Company NameCompany Address Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company PhoneStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY TitleDescriptionHourly PayReason for leavingIs it okay if we contact this employer?YesNoIf no, please explainPlease enter employment information for Company 2Company NameCompany Address Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company PhoneStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY TitleDescriptionHourly PayReason for leavingIs it okay if we contact this employer?YesNoIf no, please explainPlease enter employment information for Company 3Company NameCompany Address Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company PhoneStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY TitleDescriptionHourly PayReason for leavingIs it okay if we contact this employer?YesNoIf no, please explainPlease enter employment information for Company 4Company NameCompany Address Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company PhoneStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY TitleDescriptionHourly PayReason for leavingIs it okay if we contact this employer?YesNoIf 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 NameLocationYears CompletedPlease enter numbers onlyDiplomaOther TrainingProvide information regarding other training you have achieved Military RecordBranch of ServiceNot ApplicableAir ForceArmyCoast GuardMarine CorpsNavyActive From Date Format: MM slash DD slash YYYY Active To Date Format: MM slash DD slash YYYY Discharge Date Date Format: MM slash DD slash YYYY DutiesTrainingPhysical LimitationsAre there any tasks that you cannot perform due to physical limitations?*YesNoIf 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 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 CommentsThis field is for validation purposes and should be left unchanged.