Employment

Application

If you are interested in working for Thompson Child & Family Focus, please complete the application below. After completing the form, you will be prompted to email your resume.

Unless noted otherwise, all positions are at the St. Peter's Lane Campus
Application Date
Position Applying For
First Name
Middle Name
Last Name
Address
City
State
Zip
Home Phone
Best time to contact you at home is:
Work Phone
May we contact you at work?	Yes No
E-mail Address
Are you over the age of 18?	Yes No
Have you ever applied with us before? If YES, give date(s):	Yes No
Are you currently employed?	Yes No
Do you have any relatives who are current employees of Thompson?	Yes No
Are you legally eligible to work in the United States?	Yes No
Date available for work:
What shifts are you available to work?	Full Time Yes No ( Shift 1 Shift 2 Shift 3) Part Time Yes No ( Mornings Afternoon Evenings) Temporary Yes No (available dates from to )
Are you currently on "lay off" status and subject to recall?	Yes No
Will you work overtime if asked?	Yes No
What is your desired salary?
Drivers License #:
State Issued:
Has your Drivers License ever been suspended or revoked? If YES, explain:	Yes No
Have you been part of an auto accident in the past 3 years? If YES, how many:	Yes No
Have you had any moving violations during the past 3 years? If YES, how many:	Yes No
Have you ever been arrested or charged with a crime? If YES, explain in full:	Yes No
Have you ever been convicted of an offense against the law? If YES, explain in full:	Yes No
Do you have any civil or criminal charges or traffic violations pending at this time? If YES, explain in full: A conviction record will not necessarily be a bar to employment.	Yes No
Educational Information
Education (select highest level completed)
Did you graduate?	Yes No
Diploma/Degree(s)
GPA
Employment History Please fill out the employment information for your two most recent jobs, beginning with the most recent.
Most Recent Employer
Address
Telephone
Employment Dates	Start Date End Date
Title
May We Contact Employer	Yes No
Duties and Responsibilities

Employer 2 Name
Address
Telephone
Employment Dates	Start Date End Date
Title
May We Contact Employer	Yes No
Duties and Responsibilities

Employer 3 Name
Address
Telephone
Employment Dates	Start Date End Date
Title
May We Contact Employer	Yes No
Duties and Responsibilities
Additional Information
Describe any childcare training, specialized training, apprenticeship, skills and extracurricular activities (i.e. First Aid, CPR, etc.)
Additional Information: Include other pertinent information to describe your qualifications.
How did you learn about Thompson Child & Family Focus?
Questions or Comments

If all the information above is correct, click on the "Submit Job Application" button below.