Part-Time Employment Application

EMPLOYER STATEMENT: Federal law requires reasonable accommodation fo the known disabilities of applicants and employees, unless to do so would pose an undue hardship. If you need an accommodation in order to complete the application process or take any required tests, please let us know.

Name Required

Address Required

City Required

State Required

Zip Required

Phone Required

E-mail Required

Which position(s) are you applying?

Part-time Child Care Teacher

Cleaner

Dishwasher

How did you learn about these part-time positions?

General Information

Are you at least 16 years old? Required

Yes

No

Are you a U.S. Citizen or otherwise authorized to work in the country on a lawful basis? Required

Yes

No

If "No", your nonimmigrant classification is:

Have you been convicted or plead guilty to a felony? Required

Yes

No

If "Yes", please explain: