The GRAB Group

Personal Information

Full Name *

Email Address *

Phone Number *

Alternate Phone

Street Address *

City *

State *

ZIP Code *

Position Information

Position Applying For *

Type of Employment *

Date Available to Start *

How did you hear about us? *

Are you legally authorized to work in the United States? *

Yes No

Will you now or in the future require sponsorship to work in the U.S.? *

Yes No

Availability

Preferred Schedule

Are you available to work weekends if needed?

Yes No

Availability Details

Education & Training

Highest Level of Education

School/College/University

Degree, Diploma or Certificate

Year Completed

Relevant Coursework, Honors, or Achievements

Skills & Certifications

Relevant Skills, Certifications, Licenses or Training

CPR/First Aid Certified?

Yes No

Other Certification(s)

Employment History

Most Recent Employer

Job Title

Supervisor Name

Employer Phone

Employment Dates

Reason for Leaving

Job Duties / Responsibilities

May we contact this employer?

Yes No

Experience With Special Needs Individuals

Do you have experience working with individuals with special needs? *

Yes No

If yes, please describe your experience working with individuals with special needs.

Professional References

Reference Full Name *

Relationship *

Phone Number *

Email Address

Additional Information

Why are you interested in working at Artistic Play and Learning Center?

Is there anything else you would like us to know?

Resume

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Applicant Acknowledgment

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that providing false or misleading information may affect consideration for employment. I authorize Artistic Play and Learning Center to verify information relevant to my application and to contact the references and employers I have identified, subject to applicable law.

Electronic Signature (Type Full Name) *

Date *

I agree to the acknowledgment above. *

Job Application

Personal Information

Position Information

Availability

Education & Training

Skills & Certifications

Employment History

Experience With Special Needs Individuals

Professional References

Additional Information

Resume

Applicant Acknowledgment