Employment Application

"*" indicates required fields

Position Applying For*

First Name*

Last Name*

Date

MM slash DD slash YYYY

Address

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Preferred Contact Method, please select all that apply.

Text

Phone

EMPLOYMENT HISTORY

Employer #1

Employer Name & Address

Position

Dates of Employment

Reason for Leaving

Employer #2

Employer Name & Address

Position

Dates of Employment

Reason for Leaving

Employer #3

Employer Name & Address

Position

Dates of Employment

Reason for Leaving

EDUCATION

Highest Level of Education (or Grade) Completed

List

School (high school, college, other)

Degree or grade completed

Course of Study (major, degree)

INFORMATION NEEDED FOR EMPLOYMENT CONSIDERATION

Do you have a vehicle to use on the job?

If you have a child enrolled in one of our programs, select the program below.

Head Start or Early Head Start

Pre-K Counts

Child Care

Center for School-age Development

Summer Camp

Have you ever worked for SUMMIT Early Learning before?

Yes

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.

Professional Reference #1:

NAME, ADDRESS, PHONE NUMBER, EMAIL ADDRESS

OCCUPATION

PROFESSIONAL RELATIONSHIP TO APPLICANT

Professional Reference #2:

NAME, ADDRESS, PHONE NUMBER, EMAIL ADDRESS

OCCUPATION

PROFESSIONAL RELATIONSHIP TO APPLICANT

Professional Reference #3:

NAME, ADDRESS, PHONE NUMBER, EMAIL ADDRESS

OCCUPATION

PROFESSIONAL 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?

How did you hear about this position?

SUMMIT Employee

Friend / Family

Facebook

Indeed

Website

Hiring Sign

Other

If you were referred by a current SUMMIT employee, please enter their name here.

Resume & Cover Letter (if applicable)

Drop files here or

Max. file size: 300 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.

Name

This field is for validation purposes and should be left unchanged.

SUMMIT Early Learning requires current and valid Background Clearances.