Employment Application

Please complete the following online application for this position. In addition, you will have the opportunity to attach your resume and/or cover letter.

Employment Form

For which position are you applying?*
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Expected Salary*
* Required for all positions prior to start.
Education
School Attended
City & State
Graduated
- Yes
- No
Degree
Major
School Attended
City & State
Graduated
- Yes
- No
Degree
Major
School Attended
City & State
Graduated
- Yes
- No
Degree
Major
Employment History
Please list related previous employment starting with the most recent.
If currently employed, may we contact your employer?
- Yes
- No
Employer
Employer Address
Street Address City State ZIP Code
Phone
Reason for leaving
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Job Title / Duties
Employer
Employer Address
Street Address City State ZIP Code
Phone
Reason for leaving
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Job Title / Duties
Employer
Employer Address
Street Address City State ZIP Code
Phone
Reason for leaving
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Job Title / Duties
Training & Workshops
Please list other training, workshops or certifications you’ve completed relating to position being applied for.
Course Title Date Hours
Additional Information
Please complete the following questions. Do not leave blank, please write “N/A” if not applicable.
Are you a former or current Head Start/ECEAP parent?*
- Yes
- No
Do you speak or write other language than English?*
- Yes
- No
List any languages other than English that you can speak or write.*
References
Please list three references including at least one professional reference. Do not include names of people that are related to you by blood or marriage.
Name
First Last
Work Phone
Home Phone
Address
Street Address Address Line 2 City State ZIP Code
Relationship
Name
First Last
Work Phone
Home Phone
Address
Street Address Address Line 2 City State ZIP Code
Relationship
Name
First Last
Work Phone
Home Phone
Address
Street Address Address Line 2 City State ZIP Code
Relationship
Cover Letter and Resume
Drop files here or
Provide a cover letter and resume to complete your application.
Certification*
I understand that a condition of employment is that Denise Louie Education Center must conduct local and national background checks. Therefore, if offered employment by Denise Louie Education Center I hereby authorize Denise Louie Education Center to conduct local and national background checks for the purposes of evaluating whether I am qualified for the position. I understand that Denise Louie Education Center will utilize an outside firm(s) to assist in checking such information. I also understand that I may withhold my permission and in such a case my application for employment will not be processed further.
- I agree that Denise Louie Education Center may conduct a local & national background check in the event of hire.
- I DO NOT agree to Denise Louie Education Center conducting a local & national background check in the event of hire.
If employed, the employment relationship between me and Denise Louie Education Center will be at-will. This means that the employment relationship is for no specific term and may be terminated by either me or Denise Louie Education Center at any time, with or without cause or advance notice, for any reason not prohibited by law. Nothing contained in the DLEC Policies & Procedures or descriptions of benefits create a contract between you and DLEC for continued employment or any particular benefit. While employed by the organization, I agree to devote my business and professional time and energy to the conduct of the organization’s business and not devote substantial business or professional services to other interests without prior agreement.
I certify that the above is true and correct to the best of my knowledge. I understand that any untrue or misleading answers are cause for rejection of my application or dismissal if employed. I authorize Denise Louie Education Center to verify statements contained in this application. I authorize Denise Louie Education Center to contact references listed in this application. I further authorize the release of information related to my employment for consideration in making a hiring decision and hold the person(s) and the corporation(s) giving references harmless and free of any and all liability that could result from this process.

Employment Form

Education

Employment History

Training & Workshops

Additional Information

References

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Course Title	Date	Hours