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+1 (956) 496-2122
22993 Briggs Coleman Rd, Harlingen, TX 78550
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Home
About Us
Programs
Infants
Toddlers
2-Year-Olds
Pre-K 3
Pre-K 4
Gallery
Join Our Team
Parent Portal
FREE e-book
Job Application
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Job Application
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Applicant Information
Full Name
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First
Middle
Last
Date
*
MM slash DD slash YYYY
Address
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Street Address
Appartment/Unit #
City
State / Province / Region
ZIP / Postal Code
Phone
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Email
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Date
*
MM slash DD slash YYYY
Social Security No.:
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Desired Salary:
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Position Applied for:
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Are you citizen of the United States?
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No
If no, are you authorized to work in the U.S.?
Yes
No
Have you ever worked for this company?
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Yes
No
If yes, when?
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Yes
No
Have you ever been convicted of a felony?
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Yes
No
If yes, explain:
Education
High School:
Address:
From:
To:
Did you graduate?
Yes
No
Diploma:
College:
Address:
From:
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Did you graduate?
Yes
No
Degree:
Other:
Address:
From:
To:
Did you graduate?
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No
Degree:
References
Please list three professional references.
Full Name:
Relationship:
Company:
Phone:
Address:
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Full Name:
Relationship:
Company:
Phone:
Address:
Section Break
Full Name:
Relationship:
Company:
Phone:
Address:
Previous Employment
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reasons for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Section Break
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reasons for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Section Break
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reasons for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Military Service
Branch
From:
To:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature:
Date
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