ACCENT on Children's Arrangements, Inc. OnLine Employment Application.
If you are interested in applying for a position with ACCENT, please fill out the following form. ACCENT is always looking for talented, bright, dedicated, fun-loving and experienced team members that have a passion for planning events and caring for children.
If you have any problems please email info@accentoca.com , or print out our Employment Application and fax it to us at 504-524-1229.
Please fill out the following form and click Submit. ( * = Required)
PERSONAL DATA
* First Name:
MI:
* Last Name:
* Email Address:
Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WV
WI
WY
Zip Code:
Work Phone:
(digits only)
* Home Phone:
(digits only)
Cell Phone:
(digits only)
Who should we contact in case of an emergency ?:
phone #:
Please indicate city applying within:
1. Are you 18 years or older?
Yes
No
2. If hired, can you submit verification of your legal right to work
in the U.S.?
Yes
No
3. Have you ever been convicted of a Misdemeanor or a Felony?*
Yes
No
*If yes, write explanation in box below
(this will not necessarily disqualify your application)
AVAILABILITY
Please list the hours you would usually be available to work with us:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
EDUCATION
Highest level of education completed:
Current Student
Masters
Bachelors
Associates
High School/GED
Please list your major(s):
Additional Qualifications (please check all that apply):
ECE Course work # of units:
CPR Certified expiration date:
First Aid Certified expiration date:
Experience with the following age groups:
Infants
Preschool
School Age
Experience with special needs children
Bilingual: please list language(s):
Fingerprints on record: with:
Other related classes/seminars/certificates (please list):
EMPLOYMENT HISTORY (most recent first)
We want to know about your work experience, particularly in child care. This includes: babysitting, volunteer experience, internships, summer, and temporary/part-time jobs. Please list your job history starting with your most recent job first.
Company:
Dates:
Jan
Feb
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Address:
Supervisor:
Current Phone:
Job title and duties:
Reason for leaving:
Company:
Dates:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1956
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Address:
Supervisor:
Current Phone:
Job title and duties:
Reason for leaving:
Company:
Dates:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1956
1957
1958
1959
1960
1961
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To
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1956
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1961
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Address:
Supervisor:
Current Phone:
Job title and duties:
Reason for leaving:
REFERENCES
Please list the names and phone numbers of three persons not related to you that can provide insight on your work history. If you are applying for a position with ACCENT on Children's Arrangements, these references must be supervisors or parents whose children you have cared for, or other child related references.
Name:
Your Job :
Relationship:
Dates:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1956
1957
1958
1959
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1961
1962
1963
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1988
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1991
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2005
2006
To
Jan
Feb
Mar
Apr
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Aug
Sep
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Nov
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1956
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1991
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1999
2000
2001
2002
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2004
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2006
Phone:
Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WV
WI
WY
Zip Code:
Name:
Your Job :
Relationship:
Dates:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
To
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
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1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
Phone:
Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WV
WI
WY
Zip Code:
Name:
Your Job :
Relationship:
Dates:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
To
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
Phone:
Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WV
WI
WY
Zip Code:
ADDITIONAL CHILD CARE OR OTHER RELATED EXPERIENCE
Please list any additional child care experience you feel we should know about.
CHILD CARE QUESTIONS
If you are applying for a position with ACCENT on Children's Arrangements please answer the following
questions.
Thank you!
1. If you had a group of (6) children age (3) and they were all running around the room,
what activity would you start to regain program structure?
2. What does the word "interaction" mean to you?
3. How would you calm a crying baby?
AGREEMENT
How did you hear about us
I certify that this information is accurate and complete.
Giving incomplete or false information is a serious matter and is grounds for dismissal and forfeiture of related benefits. I authorize ACCENT and any of its authorized representatives, to investigate any and all of the information contained in this application and to conduct additional investigations of my experience and background as it relates to my application for hire.
I give my permission to my past employers to provide my performance history to ACCENT. I understand that if hired, my status will be that of an employee at will, with no contractual right, express or implied, to remain in the employer's employ. In consideration of my employment, I specifically agree that my employment may be terminated, with or without cause or notice. I understand that no representations will be made, express or implied, which are contrary to the foregoing. This statement of policy is not subject to change. I have read and understand and agree to the provisions of this application.
To apply for this position, click the "Submit Application" button to indicate that you understand
and accept these terms. Your application will then be submitted. If you are the successful candidate,
you will be asked to sign a copy of this application.