SUMMIT Early Learning requires current, valid Background Clearances. Additionally, proof of vaccination for COVID-19 is required unless exempted by federal, state or local laws. Position Applying For*Please chooseAny Position/OtherAssistant Teachers (Selinsgrove, Middleburg, Lewisburg, or Mifflinburg))Assistant Teachers (Lewistown)Bus Driver (Mifflin County)Center Director (Lewistown)Teacher - School-age Program (Indian Valley Elementary)Teacher - Head Start (Lewistown Center)Teacher - Head Start (Mifflinburg Center)Teacher - Head Start (Strodes Mills)Teacher - Preschool (Susquehanna Center)Teacher - Infant, Toddler (Susquehanna Center)First Name* Last Name* Date MM slash DD slash YYYY Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Preferred Contact Method, please select all that apply. Email Text Phone EMPLOYMENT HISTORYListEmployer Name & AddressDates of EmploymentReason for Leaving EDUCATIONHighest Level of Education (or Grade) Completed ListSchool (high school, college, other)Degree or grade completedCourse of Study (major, degree) INFORMATION NEEDED FOR EMPLOYMENT CONSIDERATIONDo you have a vehicle to use on the job? Are you a parent of a child presently served or served in the past by a program of SUMMIT Early Learning? If yes, which program?Head StartEarly Head StartPre- K CountsChildcareOtherHave you ever worked for SUMMIT Early Learning before? Yes No If yes, what position and when? Professional References: Please list the names of three persons familiar with your character, ability, or education for more than one year. Do not include friends or relatives.NAME, ADDRESS, PHONE NUMBER, EMAIL ADDRESSOCCUPATIONPROFESSIONAL RELATIONSHIP TO APPLICANT Please specify any restrictions regarding contacting your current employer: List any other experiences not previously listed, such as volunteer work, that are relevant to the position for which you are applying:Why are you interested in working for SUMMIT Early Learning?Resume & Cover Letter (if applicable) Drop files here or Select files Max. file size: 64 MB. Please upload Resume and Cover letter here.Condition of employment application:* I have read and understand the below statements,I UNDERSTAND THAT: 1. Any false or incomplete information in my application may be reason for denying employment, or if employed, termination from employment. 2. SUMMIT Early Learning, Inc. may contact my former employers and professional references to determine any acceptability for employment. I release anyone who provides information and SUMMIT Early Learning from any and all liability and responsibility by reason of their so doing. 3. If I am selected for a position, I am aware that by law I must apply for and receive a clearance check from the Pennsylvania State Police, FBI, and from the Pennsylvania Department of Human Services, the child abuse state registry. Application must be made at time of acceptance of job offer. 4. All new employees beginning employment 1/1/86 or later must abide by PA ACT 33, amended by ACT 80, and any future amendments. 5. I further understand that this is an application for employment and that no employment contract is being offered. Applicant Certification* I understand the below statement.IF HIRED, MY EMPLOYMENT MAY BE TERMINATED IF I HAVE BEEN NAMED AS THE PERPETRATOR OF A FOUNDED REPORT OF CHILD ABUSE LONGER THAN 5 YEARS AGO OR THE PERPETRATOR OF AN INDICATED REPORT OF CHILD ABUSE.CommentsThis field is for validation purposes and should be left unchanged. Δ