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EMPLOYMENT APPLICATION

ABC CARE Employment Application

Step 1 of 19

5%

Applicant Information
Name*
First Middle Initial Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*

Date Available*
MM slash DD slash YYYY
Position Applying for*
Are you 16 years of age or older?*
- Yes
- No
Are you 20 years of age or older?*
- Yes
- No
Are you a citizen of the United States?*
- Yes
- No
If no, are you authorized to work in the United States?*
- Yes
- No
Have you ever worked for this company?*
- Yes
- No
If so, when? Please choose a date.*
MM slash DD slash YYYY
If yes, explain.

High School
Address
Street Address City State ZIP Code
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Degree
Do you have a college education?*
- Yes
- No
Do you have any other schooling?*
- Yes
- No

College/University
Address
Street Address City State ZIP Code
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Degree
Do you have any other schooling?*
- Yes
- No

Other Schooling
Address
Street Address City State ZIP Code
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Degree

1st Reference
Name
First Last
Relationship
Company
Phone
Address
Street Address Address Line 2 City State ZIP Code

2nd Reference
Name
First Last
Relationship
Company
Phone
Address
Street Address Address Line 2 City State ZIP Code
Do you have previous employment?*
- Yes
- No
Do you have military experience?*
- Yes
- No

Recent Previous Employment
Recent Previous Company
Phone
Address
Street Address Address Line 2 City State ZIP Code
Supervisor
First Last
Job Title

Recent Previous Employment (Part 2)
Responsibilities
Date Started
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Do you have a second previous employment?*
- Yes
- No
Do you have military experience?*
- Yes
- No

2nd Previous Employment
2nd Previous Company
Phone
Address
Street Address Address Line 2 City State ZIP Code
Supervisor
First Last
Job Title

2nd Previous Employment (Part 2)
Responsibilities
Date Started
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Do you have a third previous employment?*
- Yes
- No
Do you have military experience?*
- Yes
- No

3rd Previous Employment
3rd Previous Company
Phone
Address
Street Address Address Line 2 City State ZIP Code
Supervisor
First Last
Job Title

3rd Previous Employment (Part 2)
Responsibilities
Date Started
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Do you have military experience?*
- Yes
- No

Military Service
Branch
Date Started
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Rank at Discharge
Type of Discharge
If other than honorable, explain.

Completed Trainings & College Courses
First Aid Certified*
- Yes
- No
School Age Child Care Class*
- Yes
- No
Elementary Education Classes*
- Yes
- No
Child Growth & Development Class*
- Yes
- No
CPR Certified*
- Yes
- No
Child Care Administration Class*
- Yes
- No

Completed Trainings & College Courses (Part 2)
Educational Psychology*
- Yes
- No
Child Psychology*
- Yes
- No
Intro to Psychology*
- Yes
- No
Adolescent Psychology*
- Yes
- No

Completed Trainings & College Courses (Part 3)
Children's Literature*
- Yes
- No
Literacy in Early Childhood*
- Yes
- No
Processes & Acquisitions of Reading*
- Yes
- No
Human Growth & Development*
- Yes
- No
List any other Education/Psychology/Childcare classes you have taken:*

Work Schedule
Staff Hours: Dependent on School Bell Schedule
Morning Shift

Start Time: 6:30/6:45am

End time: 9am
Afternoon Shift

Start Time: 1:45/2:30/3:30pm

End time: 5:30/5:45/6:15/6:30pm
I am available the following days*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Monday AM Hours
Monday PM Hours
Tuesday AM Hours
Tuesday PM Hours
Wednesday AM Hours
Wednesday PM Hours
Thursday AM Hours
Thursday PM Hours
Friday AM Hours
Friday PM Hours

Work Schedule (Part 2) & Signature
List below classes you are presently taking:
I would like to work approximately this many hours per week:*
- 10 hours
- 25 hours
- 35 hours
- 15 hours
- 30 hours
- 40 hours
- 20 hours
Check the areas you would like to work
- Eldersburg
- Finksburg
- Glyndon
- Manchester
- Mt. Airy
- Westminster
Signature*
First Middle Last
Typing your name acts as a signature.
Date
MM slash DD slash YYYY

2815 Patapsco Road • Finksburg MD 21048

abccare@abccareinc.com

Our Staff

ABC Care school-based and summer camp programs hire supervisors and staff members who demonstrate necessary experience and skills for working successfully with children, including enthusiasm, compassion, patience, and respect.

Announcements

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February 10, 2023

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