Please read before signing.

We appreciate your interest in a position with Children’s Choice. If you have questions about making the following statement, please ask the interviewer to explain.

Statement of Applicant

In Children’s Choice’s effort to attract the highest quality staff, I have been advised that as a part of the application process for employment with Children’s Choice, an extensive inquiry will be made concerning my prior employment, activities, character and health, and I fully consent to and authorize all such inquiries.

In the event of my employment by Children’s Choice, I will comply with all policies set forth in the personnel policy and staff manual and with other policies established from time to time by Children’s Choice. I understand that my initial employment is contingent upon receipt of a clear criminal records check from the FBI (requires being fingerprinted), three year employment history verification, certification by a physician or recognized health facility stating that I am free from tuberculosis in a transmissible form, and certification of successful completion of a recognized first aid and CPR course for infants and children.

Additionally, I authorize Children’s Choice to request my employment performance record from any former employer(s). I further understand that inquiries may be made, concerning me, my background, experience, education and prior employment. Inquiries or requests may be made by Children’s Choice, to any governmental agency, including law enforcement agencies or departments, or any other party with a legal and proper interest. I hereby waive any right to claim that any request for information or investigation is an invasion of my privacy, since they are made with my consent and it is in my interest that I be considered for employment.

I certify that I have never had an arrest or substantiated referral to a child protective services agency. I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand and agree that any misrepresentation or omission of facts would exclude my being considered for employment or, after employment, would be cause for termination of employment with Children’s Choice.

I understand and agree that if I am employed, there is no contract period for employment and my employment would be solely an “employment at will” giving either me or Children’s Choice the right to terminate my employment at any time without liability or obligation except for my regular pay through date of termination. I understand that all program positions are temporary/term jobs, which expire when the program (Before & After-School Care, Vacation Camp, Enrichment Class) is off season.