Application/Aplicacion de empleo Name: First Last Address: Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryPhone: Area Code - Phone Number E-mail:Applying For Position *Select valueSite CoordinatorParent EducatorEarly Child EducatorCommunity WorkerStart Date01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 2024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000daymonthyearHousr Available to Work:*MondayTuesdayWednesdayThursdayFridaySaturdaySundayShifts*Split ShiftAvailable AMAvailable PMPlease Rate the following (5 the highest, 1 the lowest)How do you rate your computer skills?12345How do you rate your ability to text and recieve text?12345HOw do you rate your ability to send and receive emails?12345If hired, do you have a way of getting to work?*YesNoIf so How?If hired, can you provide proof of your legal right to work in the United States? YesNoAre you at least 18 years of age? YesNoHave you ever worked for this company?YesNoIf so when?Have you been convicted of of a crime in the last 7 years?YesNoIf yes, Explain:References – ReferenciasPlease list three professional/personal referencesName 1 Address 1 Phone# 1 Relationship 1 Name 2 Address 2 Phone 2 Relationship 2 Name 3 Address 3 Phone 3 Relationship 3 Education High School Did you graduate?YesNoFrom-TO:- Degree: College: Did you graduate ?YesNoFrom - TO:- Degree: Previous Employment (Please include relevant volunteer experience)Company Address Phone Supervisor Job Title Starting Salary Ending Salary ResponsibilitiesReason For LeavingMay we contact your employer?YesNoCompany Address Phone Supervisor Job Title Starting Salary Ending Salary Responsibilities Reason For Leaving May we contact your employer? YesNoI hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Padres Unidos to verify their accuracy and to obtain reference information on my work performance. I hereby release Padres Unidos from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.Padres Unidos is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Recaptcha Word Verification:SubmitReset