Tri-County Head Start Employment Application
Thank you for your interest in employment with Tri-County Head Start.

This application form is intended for use in evaluating suitability for employment. It is not an employment contract. All sections must be fully and accurately answered.

All qualified applicants will receive equal consideration without discrimination based on race, color, veteran status, religion, national origin, political affiliation, sex, sexual orientation, age or handicap.

Please be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job related information.

Email address *
Name (First, Middle Initial, Last) *
Your answer
Phone Number *
Your answer
Alternate Phone Number
Your answer
Current Address (Street, City, State, ZIP) *
Your answer
Are you a current or past Head Start parent? *
Are you 18 years of age or older? *
If hired, can you furnish proof of eligibility to work in the United States? *
Have you ever applied here before? *
Have you ever been employed here? *
If you have been employed here before, when did you work for us, what position and center?
Your answer
Are you related to a current employee? *
If you are related to a current employee, who? and what is the relation to yourself?
Your answer
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