Early Strides

Application for Employment 2025

It is our policy to comply with al applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fault completely answer all the questions on this application. You may attach a resume, but all questions must be answered.

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First Name *

Last Name *

Phone Number *

Email *

Personal Information

Address:

Street *

City *

State *

Zip Code *

Position applied for: *

Type of employment desired: *

Full Time

Part Time

Sub

Desired Salary: *

Date you can start work, if hired: *

Availability:

Days available to work: *

Time available to work *

Do you have any commitments to any other employer which could effect your employment with this company if hired for example, an employment agreement, a non-competition, or non-solicitation agreement, or conflict of schedule? *

A. Yes

B. No

Please explain.

If hired, can you provide proof that you are a U.S. citizen or legally authorized to be employed in the U.S.? *

A. Yes

B. No

Are you with or without reasonable accommodation, able to perform the duties of the position for which you are applying? (See copy of job description) *

A. Yes

B. No

Do you have a valid Driver's License, State ID or Passport? *

A. Yes

B. No

Were you referred to this position by a current employee? *

A. Yes

B. No

If yes, what is the employee's name and what is the nature of your relationship?

How did you hear about this position? *

A. BACKGROUND INFORMATION

Note: All applicants who are offered employment are required to complete a livescan background investigation at their expense. Employment will only be finalized once the background check clears. Employees will be reimbursed for the full cost of the livescan upon completion of 30 days of employment with the company. Reimbursement will not be given if you do not meet the 30 day requirment.

B. EDUCATION

What is your highest level of education completed: *

Name of School:

Graduation Date:

C. EMPLOYMENT HISTORY

List any professional License/Certifications you have:

Please describe your computer skills:

Please list the name of your present employer:

Street Address:

City:

State:

Zip Code:

Job Title:

Hire Date:

Phone Number:

Number of Weekly Hours:

Duties:

Supervisor's Name:

May we contact them?

A. Yes

B. No

E. APPLICANT CERTIFICATION:

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.
I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.

Print full name: *

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Application for Employment 2025

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