Pipsy's Wee Care and Pre School

1. Required *
2. Your Name *
3. Date of Birth *
4. Phone Number *
5. Email Address *

1. Required *
2. Line 1 *
3. Line 2
4. City *
5. State *
6. Zip Code *

1. Required * Mandatory ReportingUniversal PrecautionsCPR/First AidCurrent PhysicalHigh School DiplomaCDAEarly Childhood DegreeElementary Education DegreeNone

1. Required *
2. Are you currently employed? *
3. What is your minimal acceptable hourly rate? *
4. Are you looking for full or part time? *

1. Required *
2. Most Current Employer *
3. Dates Employed *
4. Supervisor Name and Phone Number *

1. Required *
2. Previous Employer *
3. Dates Employed *
4. Supervisor Name and Phone Number *

Have you ever been convicted of a crime or felony and/or will anything show up on your background check?

1. No. There is nothing that will show up on my background check.Yes. There will be something on my background check. (Please explain in the explanation box.)Maybe. (Please explain in the explanation box.)

Explanation Box for anything that will show up on your background check.

1. *

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Certifications

I certify that all the information submitted by me on this application is true and complete. I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. I authorize the verification of any or all information listed above. In consideration of my employment, I agree to conform to the rules and regulations of Sprouts Early Learning Academy, LLC. I agree that my employment and compensation can be terminated, with or without notice at any time. I understand and agree that the terms and conditions of my employment may be changed with or without cause, and with or without notice at any time by Sprouts Early Learning Academy, LLC. I understand that no Sprouts Early Learning Academy, LLC representative, other than its Program Director, and then only when in writing and signed by the director, has any authority to enter into any agreement for employment for a specific period of time or to make any agreement contrary to the foregoing.​ I understand and acknowledge that Sprouts Early Learning Academy, LLC is an equal opportunity employer and they do not discriminate on race, religion, sex, creed, or age.

1. I DO NOT accept, understand and acknowledge the above statement.I accept, understand and acknowledge the above statement.

By typing my name in this box I certify that everything on this application is true and I understand ALL statements.