Pozee Playzle Employment Application v1.1
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You can alternatively download the PDF for this application, fill it out and mail it to our Headquarters (2801 US Hwy 17-92 W. Haines City, Florida 33844)
Applicant Information:
1.) Please complete entire application.
Application Date:  
Desired Position:  
Desired Location of Employment:  
Name:   First: Middle: Last: 
Contact Information:  
Street Address:
City:
State:
Zip:
Phone:
Alternate:
Email:
Available Start Date:
Are you a citizen of the United States? YesNo       If no, are you authorized to work in the U.S.?: YesNo
Have you ever worked for this company? YesNo       If yes, when?
Are you willing to relocate? YesNo       If yes, at what capacity?
Have you ever been arrested? YesNo       If yes, explain:
Education:
 
  Name and Location From (mm/dd/yy): To (mm/dd/yy): Did you graduate?
High School
College or University
Major/Minor/Specialization:
Other Education:
Major/Minor/Specialization:
Certifications:
 
Certification: Conferred/Awarded by: Date (mm/dd/yy):
Teaching Experience:
 
Company/School District:
Phone:
Address:
Title:
Starting Salary:
Ending Salary:
Supervisor:
From Date: To Date:
Reason for Leaving:
May we contact your previous supervisor? YesNo
Grade Level: Subject(s) Taught:
Responsibilities:
Value added accomplishments:
 
Company or
School District 1:
Phone:
Address:
Title:
Starting Salary:
Ending Salary:
Supervisor:
From Date: To Date:
Reason for Leaving:
May we contact your previous supervisor? YesNo
Grade Level: Subject(s) Taught:
Responsibilities:
Company or
School District 2:
Phone:
Address:
Title:
Starting Salary:
Ending Salary:
Supervisor:
From Date: To Date:
Reason for Leaving:
May we contact your previous supervisor? YesNo
Grade Level: Subject(s) Taught:
Responsibilities:
Company or
School District 3:
Phone:
Address:
Title:
Starting Salary:
Ending Salary:
Supervisor:
From Date: To Date:
Reason for Leaving:
May we contact your previous supervisor? YesNo
Grade Level: Subject(s) Taught:
Responsibilities:
Other Work Experience:
 
Company 1:
Phone:
Address:
Supervisor:
Title:
Starting Salary: Ending Salary:
Responsibilities:
From (mm/dd/yy): To (mm/dd/yy):
Reason for Leaving:
May we contact your previous supervisor? YesNo
Company 2:
Phone:
Address:
Supervisor:
Title:
Starting Salary: Ending Salary:
Responsibilities:
From (mm/dd/yy): To (mm/dd/yy):
Reason for Leaving:
May we contact your previous supervisor? YesNo
Company 3:
Phone:
Address:
Supervisor:
Title:
Starting Salary: Ending Salary:
Responsibilities:
From (mm/dd/yy): To (mm/dd/yy):
Reason for Leaving:
May we contact your previous supervisor? YesNo
Military Service:
 
Branch:
From (mm/dd/yy): To (mm/dd/yy):
Honorable Discharge: YesNo
References (at least one supervisor):
 
Reference Name 1: Relationship:
Company:
Title: Phone:
Reference Name 2: Relationship:
Company:
Title: Phone:
Reference Name 3: Relationship:
Company:
Title: Phone:
Writing Sample:
 
List/Describe any other strengths or talents that would strengthen your selection:
List any awards and honors that you have achieved:
Accomplishments/Goals:
Writing Sample:
 
Please describe in one paragraph why you have selected early childhood education as a career:
Disclaimer and Signature:
"I certify that the application has been completed 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 termination."
(Please read and sign this form in the space provided below. Your written authorization is necessary for completion of the application process.)"
 
Digital Signature Date (mm/dd/yy):