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Job Application
Position Applying For
Resume (PDF or Document)
Date:
December 8, 2019
Disclaimer
(Must be filled out completely)
We conduct thorough professional and personal background and criminal checks. A final and critical step in the hiring process is for candidates to arrange personal reference calls with current and former supervisors and others we may choose. Please select Yes to acknowledge that you understand and accept this.
Yes
No
Personal Information
(Must be filled out completely)
First Name
Middle Name
Last Name
Home Phone
Work Phone
Cell Phone
Email
Other
(Present Address) Street
City
State
Zip Code
Are you at least twenty-one years of age?
Yes
No
Permanent Address (if different than above)
Educational History
High School Name
Location
Years Completed
Attended From
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Attended To
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November
December
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2015
2016
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2020
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2023
2024
Diploma?
Yes
No
Undergrad College Name
Location
Years Completed
Attended From
January
February
March
April
May
June
July
August
September
October
November
December
1
2
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2011
2012
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2015
2016
2017
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2019
2020
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2022
2023
2024
Attended To
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
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2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Diploma?
Yes
No
Major
Graduate College Name
Location
Years Completed
Attended From
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
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2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Attended To
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
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2015
2016
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2023
2024
Diploma?
Yes
No
Major
Professional Licenses and Certifications Not Listed Above
*** Missouri requires that employees submit official college transcripts or copy of diploma of last degree earned. Please fax or email separately. ***
Employment Record
(leave no time gaps, include all previous employment in child care settings)
Work Background
Company Name
Location
Position Title
Employed From
Employed To
Starting Salary
Final Salary
Annual Bonus Paid
How would your supervisor rate your performance, on a scale of 1-10 (10 being the highest)?
Description of Job and Accomplishments
What were your reasons for leaving (wanting to leave if current) this job?
Supervisor
Please list all supervisors and their job title.
Time Period as Supervisor (in months)
Do we have permission to contact them?
If no, why not?
What is your best guess as to what he/she really felt at that time were your strengths and areas for improvement?
Strengths
Areas for Improvement
Work Background
Company Name
Location
Position Title
Employed From
Employed To
Starting Salary
Final Salary
Annual Bonus Paid
How would your supervisor rate your performance, on a scale of 1-10 (10 being the highest)?
Description of Job and Accomplishments
What were your reasons for leaving (wanting to leave if current) this job?
Supervisor
Please list all supervisors and their job title.
Time Period as Supervisor (in months)
Do we have permission to contact them?
If no, why not?
What is your best guess as to what he/she really felt at that time were your strengths and areas for improvement?
Strengths
Areas for Improvement
Work Background
Company Name
Location
Position Title
Employed From
Employed To
Starting Salary
Final Salary
Annual Bonus Paid
How would your supervisor rate your performance, on a scale of 1-10 (10 being the highest)?
Description of Job and Accomplishments
What were your reasons for leaving (wanting to leave if current) this job?
Supervisor
Please list all supervisors and their job title.
Time Period as Supervisor (in months)
Do we have permission to contact them?
If no, why not?
What is your best guess as to what he/she really felt at that time were your strengths and areas for improvement?
Strengths
Areas for Improvement
Work Background
Company Name
Location
Position Title
Employed From
Employed To
Starting Salary
Final Salary
Annual Bonus Paid
How would your supervisor rate your performance, on a scale of 1-10 (10 being the highest)?
Description of Job and Accomplishments
What were your reasons for leaving (wanting to leave if current) this job?
Supervisor
Please list all supervisors and their job title.
Time Period as Supervisor (in months)
Do we have permission to contact them?
If no, why not?
What is your best guess as to what he/she really felt at that time were your strengths and areas for improvement?
Strengths
Areas for Improvement
Work Background
Company Name
Location
Position Title
Employed From
Employed To
Starting Salary
Final Salary
Annual Bonus Paid
How would your supervisor rate your performance, on a scale of 1-10 (10 being the highest)?
Description of Job and Accomplishments
What were your reasons for leaving (wanting to leave if current) this job?
Supervisor
Please list all supervisors and their job title.
Time Period as Supervisor (in months)
Do we have permission to contact them?
If no, why not?
What is your best guess as to what he/she really felt at that time were your strengths and areas for improvement?
Strengths
Areas for Improvement
Click to Add More Job History Sections
Plans and Goals for the Future
What are you looking for in your next job?
What are your long-term career goals and objectives?
Self-Appraisal
Please give a thorough self-appraisal, beginning with what you consider your strengths, assets, things you like about yourself, and things you do well.
What would you say are your shortcomings, weak points, or areas for improvement?
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid drivers license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
Character References
(References cannot be related to applicant and cannot be past supervisors)
Name
Occupation
Years Known
Address
Phone #
Name
Occupation
Years Known
Address
Phone #
Name
Occupation
Years Known
Address
Phone #
Work Availability and Salary Requirements
Do have any objection to working overtime?
Yes
No
Can you work overtime without prior notice?
Yes
No
Are there any days of the week that you can not work? Please list them.
Do you have any relative currently or formerly employed by Calo?
Yes
No
If so, who?
Have you lived in states other than Missouri in the past five years?
Yes
No
If so, please list those states?
Have you ever been convicted of a felony?
Yes
No
If yes, explain
Have you ever been arrested?
Yes
No
If yes, provide full explanation of arrest.
Have you ever been arrested or charged on violation of codes delinquency of a minor, sexual offenses, or controlled substance relating to cruelty to children, contributing to the abuse?
Yes
No
If yes, provide full explanation of violation, arrest, charge, and/or disposition
If your application receives favorable consideration, what salary would you require?
When will you be available to begin work?
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How were you referred to Calo?