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Are you eligible to work in the United States?

Position Applied For

Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation?

Have you ever worked for Cuidando before?

Yes No

If Yes, Last date employed:

What type of employment are you seeking?

Days and Hours Available Mon-Fri (If employed, notification must be provided in writing should availability change.)

How did you learn about Cuidando?

Do you know anyone who works for our company?

Yes No

New Mexico State Childcare Licensing Bureau requires that all employees must be at least 18 years or older to work unsupervised with children. Are you at least 18 years old?

New Mexico State Childcare Licensing Bureau requires that all staff members get an FBI Background Investigation. Are you willing to have this done?

Do you have any previous childcare related experience?

Are you willing to substitute in the classroom on short notice?

The State of New Mexico also requires that all full-time teaching staff have at least a 45-hour Certification and receive at least 24 hours of training per year in child growth and development and related subjects. If applying for a teacher position, will you be able to attend the training sessions necessary to fulfill these requirements?

Have you completed a 45-hour entry-level course in Child Development?

Are you presently in school or in a job-training program?

Are you willing to pursue additional training?

Do you speak other languages other than English?

If yes, please specify:

Program knowledge: (Select all that apply)

Graduation Date (if any):

Skills and Qualifications: Licenses, Skills, Training, and Awards:

May we contact your present employer?

Yes No

May we contact your present employer?

Yes No

May we contact your present employer?

Yes No

Conditions of Employment Statement

Under penalties of perjury, I declare that my answers to the questions on this application and any necessary examinations and supplements are true and give Cuidando Los Niños the right to investigate all information given and to secure additional appropriate information if necessary. I understand that an investigative report may be made from information obtained through personal interviews with others. I understand that this inquiry may include information as to my personal characteristics, employment verification, credential verification, personal identity verifications, reference checks, criminal records, motor vehicle records, and appropriateness for employment. In accordance with the law and my understanding of this statement, I authorize my current and former employers to give any information regarding my employment, together with all information regarding me, and hereby release from all liability or responsibility all persons, companies, or corporations furnishing such information in good faith. I also authorize the release of my scholastic ratings to Cuidando Los Niños by schools and other education institutions that I have attended. I understand that the completion of this application does not assure me of a position with Cuidando Los Niños and does not obligate Cuidando Los Niños to me in any way. I further understand that any misrepresentation herein may cause my application to be rejected, my name to be removed from the eligible register and/or subject me to dismissal. Candidates selected for hire may be required to pass a physical and drug screen prior to employment. I am aware that the results will be made available to the Human Resources Director or a duly authorized representative. Cuidando Los Niños is committed to a drug free work place to protect the safety of workers and the public and will comply with the Federal Drug Free Work Place Act. I understand that this application, exam documents and attachments become a part of Cuidando Los Niños records and will not be returned, reused or copied for me once submitted. I also, acknowledge that Cuidando Los Niños is an “at will” employer/agency. Furthermore, I understand that the continuation of employment is contingent and dependent to the continuation of funding and budgets. By signing this application I agree to the above.

You may attach a resume or any supporting documents here.

Application for Employment

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