Apply Full – TUCStep 1 of 4 - Basic Info0%Tell us more about yourself.I'd like to be considered for jobs in the following locations ... Tucson, Arizona Phoenix, Arizona Southlake, Texas (and surrouding communities including Keller, Grapevine, Colleyville, etc.) Plano, Texas Frisco, Texas Dallas, Texas Fort Worth, TexasAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are you legally able to work in the US?*YesNoHave you ever been convicted of a felony?*YesNoAre you 18 years of age or older?*YesNoHave you ever applied for our agency before?*YesNoHave you worked with an agency before?*YesNoIf yes, which one?Do you have access to reliable vehicle?*YesNoDo you have current car insurance and registration?*YesNoDo you have any medical conditions or lifestyle restrictions that would prevent you from being able to perform child care duties? (Lifting limitations, non-swimmer, unable to transport children, etc.) Your Education & ExperienceHigh School / City*Degree Obtained*YesNoCollege / Major*Degree Obtained*YesNoHighest Level Degree Obtained & Year Obtained*Do you have at least 2 years professional childcare experience?*YesNoPlease describe your professional childcare experience.Your Work History1. Company/FamilySupervisorMay we contact your supervisor?YesNoPhoneStart Date End Date Ending SalaryReason for Leaving2. Company/FamilySupervisorMay we contact you supervisor?YesNoPhoneStart Date End Date Ending SalaryReason for Leaving Your Professional ReferencesPlease provide us with individuals we can call who can attest to your work ethic, knowledge and abilities. We require three professional references- friends & family do not qualify. The best references are supervisors or parents of children you have cared for. Please note that your references may be contacted right away.1. Last Name*First name*Phone*Email*How do you know this reference?*2. Last Name*First name*Phone*Email*How do you know this reference?*3. Last Name*First name*Phone*Email*How do you know this reference?*4. Last NameFirst namePhoneEmailHow do you know this reference? Signature & DisclaimerEmployment Application Disclaimer and AcknowledgementI certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire or place me, or for discharge should I be hired. I authorize any person, organization or company listed on this application to furnish TC any and all information concerning my previous employment, education and qualifications for employment. I also authorize TC to request and receive such information. In consideration for any employment with or through the agency, I agree to abide by the rules and regulations of the agency or family that hires me, which rules may be changed, withdrawn, added or interpreted at any time, at the employer’s sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the employer or myself.If you qualify for the next step, what is the best number to reach you?Email*PLEASE use the same email address you used on the previous page.Printed Name*Signature*Date* MM DD YYYYNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.