Apply Full – PHX

Step 1 of 4 - Basic Info

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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 & Experience
High 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 History
1. Company/Family
Supervisor
May we contact your supervisor?
- Yes
- No
Phone
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Ending Salary
Reason for Leaving
2. Company/Family
Supervisor
May we contact you supervisor?
- Yes
- No
Phone
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Ending Salary
Reason for Leaving

Your Professional References
Please 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
Phone
Email
How do you know this reference?

Signature & Disclaimer
Application Disclaimer and Acknowledgement
I 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
CAPTCHA
Name
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