Online Job Application Form

Thrivalaska Employment Application

THIS APPLICATION MUST BE COMPLETED IN FULL.

(Resumes cannot be used as a substitute for any section of this application).

Question? Contact HResources@thrivalaska.com

Contact Human Resources via email if accommodations are needed to participate in the employment process

Name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Position(s) applied for:

Head Start Teacher

Head Start Teacher Assistant

Head Start Teacher Assistant (Sub)

Family Sprouts Teacher

Family Sprouts and Clubhouse (Schoolage) Substitute

Date available to begin work:

YYYY

Employment Desired

Needs a description

Days available to work:

Include available hours associated with each day

Are you 18 years or older?

How did you hear about the position(s) to which you are applying?

Have you read and are you aware of the salary range for this position?

Are you now or have you ever been employed by Play N Learn or Thrivalaska?

If so, give position title, program, and dates:

Can you be lawfully employed?

(I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the U.S. within 72 hours of hire.)

Do you, a friend or any immediate family members serve on the Thrivalaska Board of Directors or Policy Council?

If so, what is your relationship?

Have you ever been an Early Head Start or Head Start parent?

EDUCATION & TRAINING

Highschool/GED/HS Equivalency

Name of School

Location of School

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Years Attended

Did you graduate/complete?

Major/Degree Earned

Undergraduate

Name of School

Location of School

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Years Attended

Did you graduate/complete?

Major/Degree Earned

Graduate

Name of School

Location of School

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Years Attended

Did you graduate/complete?

Major/Degree Earned

Trade, Business, or Correspondence school

Name of School

Location of School

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Years Attended

Did you graduate/complete?

Major/Degree Earned

List any certificates or licenses you hold pertinent to the position(s) for which you are applying.

Please include title, state or licensing agency, and expiration date.

List any special courses, seminars, and/or training that would enhance your ability to perform the job(s) to which you are applying.

List any applicable skills and years of experience that are pertinent to the position(s) for which you are applying.

Do you have a valid Alaska drivers license?

Yes or No. If No, State:

Do you have a clean driving record for the past 5 years?

Yes or No; State:

Do you have a commercial drivers license?

Yes or No. If Yes, List Class & Endorsements:

What is your typing speed?

In Words Per Minuet

Are you able to type without looking at the keys?

Describe your experience handling cash.

Windows 10

Rate your proficiency

Internet

Rate your proficiency

Outlook

Rate your proficiency

Child Plus

Rate your proficiency

NACCRAware

Rate your proficiency

QuickBooks

Rate your proficiency

List other computer software programs:

And rate your proficiency:

List other types of office equipment you can operate:

References

In order to process your application, Thrivalaska must obtain the names, addresses, and phone numbers of three people who can provide references attesting to the good character, reputation, interpersonal and professional skills. One personal and 2 professional. All references must be unrelated to you.

Reference 1 (Personal)

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Relationship

Reference 2 (Professional)

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Relationship

Reference 3 (Professional)

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Relationship

Employment History

List all positions held in the last 10 years, beginning with your present or most recent job. If 10 years of history is not possible then note reasons why. List all jobs separately including on-the-job training, volunteer work and military experience. Please be sure you describe completely the duties you performed, which demonstrates that you have the knowledge and skills to perform the duties of the job for which you are applying. If you were not employed, list your whereabouts for the last 2 years.

Job 1 (Most Recent)

Name of Employer

Address of Employer

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Start & End Dates:

Hours Per Week:

Job Title:

Supervisor's Name

First Name

Last Name

Supervisor's Title

Did you supervise in this position?

If yes, please indicate the number of employees supervised:

Include how many were youth (under 17 yrs old) & how many were adults (18+ yrs old)

Did you work with children?

If yes, then what ages? For how long?

Reason For Leaving:

Include whether it was voluntary or involuntary

Duties:

Job 2

Name of Employer:

Address of Employer:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Start & End Dates:

Hours Per Week:

Job Title:

Supervisor's Name

First Name

Last Name

Supervisor's Title:

Did you supervise in this position?

If yes, please indicate the number of employees supervised:

Include how many were youth (under 17 yrs old) & how many were adults (18+)

Did you work with children?

If yes, then what ages? For how long?

Reason For Leaving:

Include whether it was voluntary or involuntary

Duties

Job 3

Name of Employer:

Address of Employer:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Start & End Dates:

Hours Per Week:

Job Title:

Supervisor's Name

First Name

Last Name

Supervisor's Title:

Did you supervise in this position?

If yes, please indicate the number of employees supervised:

Includes how many were youth (under 17 yrs old) & how many were adults (18+ yrs old)

Did you work with children?

If yes, then what ages? For how long?

Reason For Leaving:

Include whether it was voluntary or involuntary

Duties:

Job 4

Employer's Name

Employer's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Start & End Dates:

Hours Per Week:

Job Title:

Supervisor's Name

First Name

Last Name

Supervisor's Title:

Did you supervise in this position?

If yes, please indicate the number of employees supervised:

Include how many were youth (under 17 yrs old) & how many were adults (18+)

Did you work with children?

If yes, then what ages? For how long?

Reason For Leaving:

Include whether it was voluntary or involuntary

Duties:

Job 5

Employer's Name

Employer's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Start & End Dates:

Hours Per Week:

Job Title:

Supervisor's Name

First Name

Last Name

Supervisor's Title:

Did you supervise in this position?

If yes, please indicate the number of employees supervised:

Include how many were youth (under 17 yrs old) & how many were adults (18+)

Did you work with children?

If yes, then what ages? For how long?

Reason For Leaving:

Include whether it was voluntary or involuntary

Duties:

Unemployment Notes

Please describe whereabouts during and reasoning behind time(s) of unemployment.

List Relatives Employed by Thrivalaska:

Please include name and relationship

Thrivalaska is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, sex, age, or disability. Applications from all persons are welcomed.

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR UNDERSTANDING AND ACCEPTANCE BY SIGNING BELOW

1. I hereby certify that all information provided by me in connection with this application is true and complete to the best of my knowledge. I understand any misrepresentation or concealment of material fact will be sufficient grounds for rejection of my application or my removal from employment. 2. I understand Thrivalaska will conduct pre-employment reference checks and that applicants should promptly notify Thrivalaska if they decide to withdraw their application. 3. I understand I will not have access to the information provided by my references or notes taken by interviewers. 4. I authorize Thrivalaska to investigate all statements made in this application or attachments; to contact any of my former employers, educational institutions, or any other person or organization that may have information relevant to my employment; to obtain records concerning my past work, character, or education. I authorize that such contact or investigation may occur at any time before or during employment. 5. I understand to be considered for employment I will need to submit pre-employment requirements that include: reference checks, TB test, fingerprints, criminal background check, drug and alcohol screening (if applicable), initial health exam (Head Start only), driver physical (if applicable), and a driving record (if applicable).

I acknowledge that submitting this form serves as an electronic signature