Employment Application

Our Mission: “The Early Learning Neighborhood Collaborative will create, provide and support targeted neighborhood collaborative partners with technical, developmental and educational resources and increase the accessibility of early childhood education for vulnerable children through advocacy.“

The Civil Rights Act of 1964 prohibits discrimination because of race, color, gender, religion or national origin. Public Law 90 702 prohibits discrimination because of age. The laws of the State of Michigan also prohibit discrimination on the basis of marital status, height, weight, physical or non-qualifying handicap or prior bankruptcy.

Name*
First Middle Last
Are you a United States citizen?*
Please list type of VISA:*
Are you at least 18 years or older?*
If no, you may be required to provide authorization to work.
Phone (Home)*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
For which position are you applying?*
(Please Be Specific)
Availability*
Hours Available*
Date Available*
Minimum Salary Requirement*
Have you ever applied for employment with Early Learning Neighborhood Collaborative before?*
When and for which position?*
How or by who were you referred to the ELNC?*
Would you be willing to undergo drug testing and a background check?*
Education
Please identify the level of education completed by you:*
Please provide the name and address of the school, college or university you attended:*
Dates Attended (From - To)*
Major Area of Study*
Degree or Title Earned:*
If you attended more than one school, college or university to attain your degree or title, please complete the additional information here.
Please provide the name and address of the school, college or university you attended:
Dates Attended (From - To)
Major Area of Study
Degree or Title Earned:
Are you a licensed or registered member of any trade or profession?*
Type of license or registration:*
Registration, Certification or License Number:*
In which state?*
Current Employment
(Please include relevant internship or volunteer information.)
Name of Current Employer
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of Supervisor
Phone
What is your title?
What are your responsibilities?
Dates of Employment
(From - To)
Salary
(Start and End)
Why are you seeking other employment?
May we contact your current employer?
Previous Employment
1.) Previous Employer
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What was your title?
What were your responsibilities?
Dates of Employment
(From - To)
Salary
(Start and End)
May we contact this employer?
2.) Previous Employer
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What was your title?
What were your responsibilities?
Dates of Employment
(From - To)
Salary
(Start and End)
May we contact this employer?
3.) Previous Employer
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What was your title?
What were your responsibilities?
Dates of Employment
(From - To)
Salary
(Start and End)
May we contact this employer?
Criminal History
Have you ever been convicted of a crime?*
Please describe the conviction:*
Have you ever been convicted of child abuse or neglect?*
Please describe the conviction:*
Miscellaneous
Please provide information regarding your skills related to the position for which you are applying. Include information pertaining to internships and/or volunteer activities.
References
Please provide three (3) references that are not related to you.
1. Name*
First Last
Phone*
Relationship*
2. Name*
First Last
Phone*
Relationship*
3. Name*
First Last
Phone*
Relationship*
Attachments
Cover Letter (Required)
Accepted file types: pdf, doc, docx.
Resume
Accepted file types: pdf, doc, docx.

Education

Current Employment

Previous Employment

Criminal History

Miscellaneous

References

Attachments