Apply Full – PHX Step 1 of 4 - Basic Info 0% Tell us more about yourself.I'd like to be considered for jobs in the following locations ... Phoenix, Arizona Tucson, Arizona Southlake, Texas (and surrouding communities including Keller, Grapevine, Colleyville, etc.) Plano, Texas Frisco, Texas Dallas, Texas Fort Worth, Texas What position(s) are you applying for, if any? If you want to be considered for any and all positions, just write N/A. Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are you legally able to work in the US?* Yes No Have you ever been convicted of a felony?* Yes No Are you 18 years of age or older?* Yes No Have you ever applied for our agency before?* Yes No Maiden name (if applicable) Have you worked with an agency before?* Yes No If yes, which one? Do you have access to reliable vehicle?* Yes No Do you have current car insurance and registration?* Yes No Do 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.)Please list the days and times you are available to work:Why are you interested in a position through our agency?*Tell us more about your last position. Why did the position end or why are you leaving?*How does Trusting Connections fit into your short-term and long-term goals?* Your Education & ExperienceHigh School / City* Degree Obtained* Yes No College / Major* Degree Obtained* Yes No Highest Level Degree Obtained & Year Obtained* Do you have any childcare experience?* Yes No Please describe your childcare experience (number of years, type, etc.)Select age group(s) you have experience with:* Newborn (0-3 months) Infant (3-12 months) Toddlers (1-3 years) Preschool (3-5 years) School-Aged (5-12 years) Teenagers (12+ years) Your Work History1. Company/Family Supervisor May we contact your supervisor? Yes No PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Ending Salary Reason for Leaving2. Company/Family Supervisor May we contact you supervisor? Yes No PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Ending Salary Reason 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 Name First name PhoneEmail How do you know this reference? Signature & DisclaimerApplication 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 refer 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. This application initiates the process to be considered for either employment with Trusting Connections or through the agency's placement services. I understand and agree that if I am referred to a Client through Trusting Connections' placement services, Trusting Connections is not the employer or co-employer. Email* PLEASE use the same email address you used on the previous page. Printed Name* Signature*Date* Month Day Year CAPTCHANameThis field is for validation purposes and should be left unchanged.