Careers - Applicant Info

POSITION APPLYING FOR: Submitting resume for general consideration

Step 1: Applicant Information

First Name:
Middle Name:
Last Name:
Maiden Name:
Zip Code:
Home Phone:
Cell Phone:
Best Time to Call:
Email Address:
Emergency Contact Name:
Emergency Contact Phone:
Social Security Number:
Are you at least 18 years of age? No
Date you are available to start work?
Preferred work location?
Employment desired?
If requesting part time work, please list days and hours available:
Have you ever been employed by Minnieland?
Which location(s)?
What position(s)?
Dates of past employment with Minnieland:
Are you employed now?
If "Yes," may we contact your present employer?
If we may not, please explain.
Are you prevented from lawfully becoming employed in the United States?
If you are not a U.S. citizen, please identify your legal authorization to work in the United States:
Have you ever been discharged or asked to resign by an employer?
If "Yes," please explain.
Is there anything that would interfere with your ability to successfully perform the duties of the position for which you are applying?
If "Yes," please specify.
Can you travel if the position requires it?
How did you hear about Minnieland and/or the position for which you are applying?
Is U.S. Citizen?
Has Been Convicted of a Felony?
Current Occupation:
Desired Position:
What is your desired salary for this position?
Please upload your Resume (Optional).
Please upload your Cover Letter (Optional).

Step 2: Sworn Disclosure

A conviction record may disqualify an applicant for employment. Relevant factors such as determination of the conviction as a barrier crime, date, seriousness of the conviction and the nature of the position will be taken into consideration. Failing to disclose all convictions or pending charges inside and outside of the Commonwealth of Virginia will result in the rejection of this application or termination of employment.
Have you ever lived outside of Virginia in the past five years?
If yes, what state(s) have you lived in.
Have you ever been convicted of or are you the subject of pending charges of any crime within the Commonwealth of Virginia (excluding minor traffic violations)?
If "Yes" or "Pending" within the Commonwealth, please specify crime(s) and date(s).
Have you ever been convicted of or are you the subject of pending charges of any crime outside the Commonwealth of Virginia?
If "Yes" or "Pending" outside of the Commonwealth, please specify crime(s), date(s), state or other location.
Have you ever been the subject of a founded complaint of child abuse or neglect within the Commonwealth of Virginia?
If "Yes" or "Pending" within the Commonwealth, please specify occurrence, date and location.
Have you ever been the subject of a founded complaint of child abuse or neglect outside the Commonwealth of Virginia?
If "Yes" or "Pending" outside of the Commonwealth, please specify details to include occurrence, date, state, or other location.

Step 3: Educational Background

Many positions within Minnieland require that minimum levels of education be reached. This is a licensing requirement for specific positions within the childcare education industry
Do you have a High School Diploma?
If you do not, do you have a general equivalency diploma (G.E.D.), or equivalent certificate issued from a secondary education school?
If "Yes," please provide specifics.
What is your highest level of education completed?
High School Attended:
City / State / Country:
College Attended:
Degree Received:
City / State / Country:
Start Date:
End Date:
Graduate School Attended:
Degree Received:
City / State / Country:
Start Date:
End Date:

Step 4: Employment History

Start with your present or most recent employer. List employer’s name, address and telephone number. Please account for all periods of time to include permanent, temporary, military or volunteer work.

Step 5: Professional Certification And Training

Please provide details on any professional certifications that you may have. This may also include training certifications such as C.D.A., C.N.A., First Aid, CPR, Food Safety Certification, and M.A.T.

Step 6: Professional References

Please provide a minimum of three professional references (not related to you) that we may contact to request information about your qualifications.

Step 7: Driver's Licensure

Step 8: Skills Statement

In narrative form, please describe your special skills, talents, volunteer work or training that would help us evaluate your application for this position.

Step 9: Attestation

I understand that a false statement or omission of facts and circumstances on this application and/or on other documents related to my qualifications and background, such as resume, vitae, etc., may be grounds for not hiring, or for terminating me after I begin employment. I certify that to the best of my knowledge and belief, all statements are correct, complete, current, and made in good faith and that I will attach information as necessary to meet this disclosure requirement. I understand and agree that employment with Minnieland Academy is governed by the principle of at-will employment, which means that at the option of Minnieland Academy or me, employment or compensation can be terminated, with or without cause, and with or without notice, at any time. I understand that Minnieland Academy is an equal opportunity employer that supports a commitment to being a drug-free workplace in all of its schools, offices and other operations. I understand that nothing in this application nor any other policies or statements of Minnieland Academy or its representatives, whether written or oral, can modify this express condition of employment. I understand that no Minnieland Academy representative except the Chief Executive Officer is authorized to modify this condition and that I may not rely on any attempted modifications other than those specifically set forth in writing by the Chief Executive Officer. I understand and agree that my hours of work, assignments, etc., may be altered to meet the business needs of Minnieland Academy. I understand that I may be offered employment even though certain background checks and investigations, and checking of references may not have been completed. If such inquiries establish information which in Minnieland Academy’s sole discretion makes me unqualified, I understand that I will be terminated promptly. I consent to the release of information to Minnieland Academy from current and former employers, schools, law enforcement agencies, and other individuals and organizations. Such parties may rely upon this authorization as a waiver of any claim whatsoever I may have as a result of the party responding candidly to an inquiry from Minnieland Academy.
Date Application:
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