Kids First Family Services Application
Personal Information
Name
Your answer
Address
Your answer
Phone Number
Your answer
Email Address
Your answer
Position Applying for
What rate of pay do you expect to receive if hired?
Your answer
When would you be able to start?
MM
/
DD
/
YYYY
Days and Hours Available?
Your answer
How many hours per week are you looking for?
Your answer
Do you speak any languages other than English? If so, which?
Your answer
Eligibility to Work
Are you legally eligible to work in the United States?
Required
Are you over the age of 18?
Have you ever been convicted of a felony?
If yes, please explain
Your answer
Have you ever been convicted of a misdemeanor?
If yes, please explain
Your answer
Driving Information
Do you have a valid driver's license?
State issued?
Your answer
Do you have current auto insurance?
Required
Have you had any moving violation in the last 5 years?
Required
If yes, please explain
Your answer
Education
Have you obtained a High School Diploma or GED?
Required
College/University Name and Location
Your answer
Degree Obtained
Your answer
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