Employment Application

Caring for young children during their formative years can be an incredibly fulfilling career path. At Wilmington Head Start, Inc., we take great pride in providing parents with the peace of mind that their little ones are receiving the best possible care, security, safety, and education. Join our family-oriented organization that's full of joy and excitement, and experience the transformative power of working with young children firsthand.

But that's not all. Our employees also enjoy a wide range of benefits, including a competitive compensation package, opportunities for career advancement, education assistance, and flexible scheduling. The ability to positively impact a child's learning journey is a rare privilege, and one that we take seriously.

If you're interested in joining our team and making a difference in the lives of young children, please complete the application below. If you have any questions please don't hesitate to call our Human Resource Director, Ms. Kellen Anderson at (302) 421-3620, ext. 111.

Personal Information

Date of Application:

Position applying for:

First Name

Middle Name

Last Name

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Phone Number

Email address:

When are you available to start work?

Salary range desired:

Are you bilingual in any of the following languages?

Spanish Chinese American Sign Language (ASL) Other

Have you ever been employed here before?

Yes No

Are you comfortable with Technology such as computers and internet?

Yes No

Are you a current or past Head Start parent or relative?

Current Former Neither

Are you willing to accept employment, which requires you to travel (if applicable to position)?

Yes No

Have you ever plead "guilty" or "no contest" to, or been convicted of a crime?

Yes No

Referred by:

Education Information

Please insert the name of the school you've attended, the location, number of years completed, your major and/or degree received in the fields below.

High School

Location

Number of Years Completed

Major or Degree

Licensure & Certifications

Please insert the date of completion and/or receipt of your certifications in the fields below.

Type of License & Certifications

TECE I

TECE II

(CDA) Child Development Associate Credential

CPR / First Aid

Other

Summarize any training, skills, licenses and/or certifications that may qualify you as being able to perform job-related functions in the position for which you are applying:

Employment History

Provide the following information of your past two(2) employers, assignments or volunteer activities, starting with the most recent.

Name of Employer

Phone Number

Starting Job Title/Final Job Title

Immediate Supervisor

Began Employment On:

Ended Employment On:

Reason For Leaving:

May We Contact For Reference?

Yes No Later

Final Hourly Rate/Salary:

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Summarize The Nature of Work Performed and Job Responsibilities:

Employment Information

Second Employer Information

Name of Employer

Phone Number

Starting Job Title/Final Job Title

Immediate Supervisor

Began Employment On:

Ended Employment On:

Reason For Leaving:

May We Contact For Reference?

Yes No Later

Final Hourly Rate/Salary:

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Summarize The Nature of Work Performed and Job Responsibilities:

Personal Reference Information

List two personal references. DO NOT LIST relatives or previous supervisors.

Reference 1

Telephone where person can be reached 9a - 5p

Reference 2

Telephone where person can be reached 9a - 5p

Reference 3

Telephone where person can be reached 9a - 5p

Application Statements

APPLICATION STATEMENTS

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered.

I understand that the employer does not unlawfully discriminate in employment and no question on this application issued for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I hereby certify that all entries on both sides and attachments are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment in the service of Wilmington Head Start, Inc. I understand that all information on this application is subject to verification and I consent to criminal history background checks. I also consent that you may contact references, former employers and educational institutions listed regarding this application. I further authorize Wilmington Head Start, Inc. to rely upon and use, as it sees fit, any information received from such contacts.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENTS.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statements.

Printed name:

Date:

Signature of applicant:

Wilmington Head Start, Inc. is an equal employment opportunity employer.

We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this depends solely on your qualifications.