ࡱ> '` bjbj$$ *FF2222$2t}B^5^5^5^5^5^5^5^5AAAAAAA$3ChE"B^5^5^5^5^5"B^5^57Bh7h7h7^5"^5^5Ah7^5Ah7h7h7^5R5 iݥO25|h77d MB0}Bh7+F5l+Fh7+Fh70^5^5h7^5^5^5^5^5"B"Bh7^5^5^5}B^5^5^5^5,22 Staff Application Pecan Ridge School 1140 S. Buffalo Canton, TX 75103 (903) 567-0515 Personal InformationDate:Name:Address:Phone Number: ( ) Other:S.S. # Age:Position Desired:Date You Can Start:What age level of children do you prefer? Educational BackgroundSchool Name and CityField of StudyDegreeCheck One: ( High School Diploma ( GEDCollege: (1 ( 2 ( 3 ( 4 Degree:Are you CPR/First Aid Certified? ____Yes ____NoHave you been FBI Fingerprinted? ____Yes ____NoWork ExperienceCompany Name and CityPhone NumberPositionSupervisorStarting and Ending Wage1)2)3)May we have permission to contact your present employer?List any previous experience you have working with children:PositionAges of Children# of Children InvolvedHave you ever been convicted of a felony and/or misdemeanor including deferred Adjudication? ( Yes ( No If Yes, please explain:Are there any criminal charges pending against you? ( Yes ( No If Yes, describe: Personal Abilities and InformationSwimming Ability:Musical Ability:Any special ability in any field you feel would be an asset in your working with young children (arts & crafts, etc):Any unusual medical problems?In case of emergency, call:What career do you intend to follow? References (at least 3 of which are unrelated)Name & AddressPhone NumberRelation Will you attend 20-hours worth of training course per year?____________ Are you willing to attend staff meetings?_______________ Can you start to work at 6:30am if necessary?_____________ Can you work as late as 6:00pm?__________ Can you work a split shift 8:00-12:30 & 2:30-6:00pm?__________________ What hours do you prefer? (Preferred hours are not guaranteed):__________________ Will you take care of and return to the school your teaching materials when you leave our school?________________ Will you pay for loss or damage to materials from your neglect (no normal wear)?____________________ Minimum salary you would consider?______________________________ Pecan Ridge School is an Equal Employment Opportunity company dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, gender, religion or national origin, or physical defects. Insurance InformationThe information requested below is needed for insurance. It is not used for hiring purposes.Date of BirthMarital StatusSpouses Name:Names and ages of Children:Texas Drivers License No. Please respond to the following questions with a written response.Questions for teachers:1. Abigail, a five year old, is trying to fasten the clasp on a necklace she found in the dress-up box. You sit next to her and discover she is squeezing the wrong part of the clasp. What can you do to help her? As a preschool teacher, you:2. Olivia, who just turned two, takes Kristens crackers during snack time. Kristen begins to whimper and then cry. As a toddler teacher, you say:3. Mikaela, who is six years old, is printing a message on a special card she is preparing for Mothers Day. She asks you to write the message I LOVE YOU on the card. As a schooler teacher, you say:4. Blairs eyes are crossed. He is seven years old and comes to the center after school to be with other school-aged children. Some of the children call him Crazy Cross Eyes. As a care giver, you:5. Johnny refuses to wear his jacket when he goes out to play on a warm day. His mother insists he wear the jacket and asks if Johnny has worn it. What should you tell the mother when she asks if he has worn it?6. You are a van / bus driver for the center. You have just picked up children from public school and you are driving in a busy street when the bus breaks down. What do you do?7. Zachary, a two year old, is playing with Avery when in a moments time he bites her on the arm. As a toddler teacher, what do you do with Avery? What do you say to Zachary? To the parents of each child?8. Krista and the other three year old children are outside playing with your supervision. You are the only teacher with your class of thirteen. Krista falls off the play equipment and is lying on her back and says her back is hurting. What do you do? Vklrsyz  W e f 0 1 2 B C 5   = > D E b c h` hk9 CJ jh5h+CJ h5h+5CJ h5h+5 hk9 hk9 hk9 jh5h+heheCJaJ heCJ h5h+CJh5h+ h5h+5CJ D%5FUVklr$IfYkd$$Ifl,""04 la$If$a$gd` rsyzEYkd$$Ifl,""04 la$IfYkd|$$Ifl,""04 la $Ifgde$If$IfYkdt$$Ifl,""04 la$Iflkd$$Ifl0,"LL04 la   20Ykd$$Ifl,""04 la$Iflkdt$$Ifl0,"LL04 la   4 C J $$Ifa$Ykdt$$Ifl,""04 la$IfJ K L M N }www$Ifkd$$Ifl9F,"> f0    4 laN O P Q R }www$Ifkd$$Ifl8F,"> f0    4 laR S T U V }www$IfkdH$$Ifl8F,"> f0    4 laV W }wYkd$$Ifl,""04 la$Ifkd$$Ifl8F,"> f0    4 la 1 <Ykd$$Ifl,""04 la $Ifgdk9 Ykd$$Ifl,""04 la$If1 2 B C Y f o B999 $$Ifa$Ykd$$Ifl,""04 la $$Ifa$Ykd$$Ifl,""04 lao z NH$Ifkd $$Ifl-rbj U@,"04 la $$Ifa$ WQQQQQ$Ifkd $$Ifl-rbj U@,"04 la WQQQQQ$Ifkd $$Ifl-rbj U@,"04 la WQQQQQ$Ifkdj $$Ifl-rbj U@,"04 la WQQQQQ$Ifkd4 $$Ifl-rbj U@,"04 la WQQQQQ$Ifkd $$Ifl-rbj U@,"04 la WQ$Ifkd $$Ifl-rbj U@,"04 la 5 6 ? P g BYkd$$Ifl,""04 la $$Ifa$Ykd$$Ifl,""04 lag h i j k }www$Ifkd$$IflFB,"|2  0    4 lak l m n o }www$Ifkd6$$IflFB,"|2  0    4 lao p q r s }www$Ifkd$$IflFB,"|2  0    4 las t u v w }www$Ifkd$$IflFB,"|2  0    4 law x y z { }www$Ifkd:$$IflFB,"|2  0    4 la{ | }wYkd$$Ifl,""04 la$Ifkd$$IflFB,"|2  0    4 la      EYkd$$Ifl,""04 laYkd$$Ifl,""04 la$If   ] EYkd$$Ifl,""04 la$IfYkd$$Ifl,""04 la] ^ _ ` a EYkd$$Ifl,""04 la$IfYkd $$Ifl,""04 laa b c E?$IfYkd$$Ifl,""04 la$IfYkd$$Ifl,""04 la " # A B ^ _  %-:;<ntuv%&9wxyPQR789ܾ h5h+6CJ h5h+6h`h5h+CJaJh`h`CJaJh5h+CJaJh(gh5h+CJaJh`CJaJ h5h+5CJh5h+ h5h+CJF " EYkdx$$Ifl,""04 la$IfYkd$$Ifl,""04 la" # A B ^ EYkdp$$Ifl,""04 la$IfYkd$$Ifl,""04 la^ _ EC: $$Ifa$Ykdh$$Ifl,""04 la$IfYkd$$Ifl,""04 la $$Ifa$Ykd$$Ifl,""04 la }www$Ifkd`$$IflFd,"bf0    4 la }www$Ifkd $$IflFd,"bf0    4 la }www$Ifkd$$IflFd,"bf0    4 la }www$Ifkdd$$IflFd,"bf0    4 la }www$Ifkd$$IflFd,"bf0    4 la ;<uv%&xy}{{{{{{{{{{{{{kd$$IflFd,"bf0    4 layQRwx $$Ifa$Ykdv$$Ifl,""04 la$If$a$  EYkdn $$Ifl,""04 la$IfYkd$$Ifl,""04 la7892Ykd|!$$Ifl,""04 la$Iflkd $$Ifl02 ," 04 la9:;<=EYkdt"$$Ifl,""04 la$IfYkd!$$Ifl,""04 la9:;<=>YZ^`KLMNOPQRSTUV!"#$%&'()*wxyz{|}~ h(gCJ h5h+6CJ h5h+5CJh(g h5h+CJh5h+X=>YZ[\]^ECCCCYkdl#$$Ifl,""04 la$IfYkd"$$Ifl,""04 la^_`$If^kd#$$Ifl,""04 la $$Ifa$;5$If^kd$$$Ifl,""04 la$If^kdd$$$Ifl,""04 la;^kd%$$Ifl,""04 la$If^kd\%$$Ifl,""04 la;^kd&$$Ifl,""04 la$If^kdT&$$Ifl,""04 laLMN;5$If^kd'$$Ifl,""04 la$If^kdL'$$Ifl,""04 laNOPQR;^kd($$Ifl,""04 la$If^kdD($$Ifl,""04 laRSTUV;^kd)$$Ifl,""04 la$If^kd<)$$Ifl,""04 laVW !";5$If^kd*$$Ifl,""04 la$If^kd4*$$Ifl,""04 la"#$%&;^kd+$$Ifl,""04 la$If^kd,+$$Ifl,""04 la&'()*;^kd,$$Ifl,""04 la$If^kd$,$$Ifl,""04 la*+;5$If^kd-$$Ifl,""04 la$If^kd-$$Ifl,""04 la;^kd.$$Ifl,""04 la$If^kd.$$Ifl,""04 la;^kd/$$Ifl,""04 la$If^kd /$$Ifl,""04 la;5$If^kd0$$Ifl,""04 la$If^kd0$$Ifl,""04 la;^kdx1$$Ifl,""04 la$If^kd0$$Ifl,""04 la;^kdp2$$Ifl,""04 la$If^kd1$$Ifl,""04 la;5$If^kdh3$$Ifl,""04 la$If^kd2$$Ifl,""04 la;^kd`4$$Ifl,""04 la$If^kd3$$Ifl,""04 la;^kdX5$$Ifl,""04 la$If^kd4$$Ifl,""04 la;^kdP6$$Ifl,""04 la$If^kd5$$Ifl,""04 la;^kdH7$$Ifl,""04 la$If^kd6$$Ifl,""04 la;^kd@8$$Ifl,""04 la$If^kd7$$Ifl,""04 la;^kd89$$Ifl,""04 la$If^kd8$$Ifl,""04 lavwx;5$If^kd0:$$Ifl,""04 la$If^kd9$$Ifl,""04 laxyz{|;^kd(;$$Ifl,""04 la$If^kd:$$Ifl,""04 la|}~;^kd <$$Ifl,""04 la$If^kd;$$Ifl,""04 la~ h(gCJhl,h5h+ h5h+CJh(g;^kd=$$Ifl,""04 la$If^kd<$$Ifl,""04 la;5$If^kd>$$Ifl,""04 la$If^kd=$$Ifl,""04 la;^kd?$$Ifl,""04 la$If^kd>$$Ifl,""04 la;^kd@$$Ifl,""04 la$If^kd?$$Ifl,""04 la;^kd@$$Ifl,""04 la$If^kd|@$$Ifl,""04 la;^kdA$$Ifl,""04 la$If^kdtA$$Ifl,""04 la;9^kdB$$Ifl,""04 la$If^kdlB$$Ifl,""04 la(/ =!"#*$% z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4$$If!vh5L5L#vL:V l05L4$$If!vh5L5L#vL:V l05L4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4$$If!vh5>5 5f#v>#v #vf:V l905>5 5f4$$If!vh5>5 5f#v>#v #vf:V l805>5 5f4$$If!vh5>5 5f#v>#v #vf:V l805>5 5f4$$If!vh5>5 5f#v>#v #vf:V l805>5 5f4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4$$If!vh55555#v#v#v#v:V l-055554$$If!vh55555#v#v#v#v:V l-055554$$If!vh55555#v#v#v#v:V l-055554$$If!vh55555#v#v#v#v:V l-055554$$If!vh55555#v#v#v#v:V l-055554$$If!vh55555#v#v#v#v:V l-055554$$If!vh55555#v#v#v#v:V l-055554z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4$$If!vh5|52 5 #v|#v2 #v :V l05|52 5 4$$If!vh5|52 5 #v|#v2 #v :V l05|52 5 4$$If!vh5|52 5 #v|#v2 #v :V l05|52 5 4$$If!vh5|52 5 #v|#v2 #v :V l05|52 5 4$$If!vh5|52 5 #v|#v2 #v :V l05|52 5 4$$If!vh5|52 5 #v|#v2 #v :V l05|52 5 / 4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4$$If!vh55b5f#v#vb#vf:V l055b5f4$$If!vh55b5f#v#vb#vf:V l055b5f4$$If!vh55b5f#v#vb#vf:V l055b5f4$$If!vh55b5f#v#vb#vf:V l055b5f4$$If!vh55b5f#v#vb#vf:V l055b5f4$$If!vh55b5f#v#vb#vf:V l055b5f/ 4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4$$If!vh5 5#v #v:V l05 54z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"4z$$If!vh5"#v":V l05"48@8 Normal_HmH sH tH @@@ Heading 1$$@&a$56>@> Heading 2$$@&a$CJ>@> Heading 3$$@&a$CJ>@> Heading 4$$@&a$58@8 Heading 5$@&CJB@B Heading 6$$@&a$5CJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List 4>@4 Title$a$5CJ <Q@< Body Text 3$a$68O8 Inside Address%5FUVklrsyz4CJKLMNOPQRSTUVW12BCYfoz56?Pghijklmnopqrstuvwxyz{| ]^_`abc"#AB^_;<uv%&xyQRw x   7 8 9 : ; < = > Y Z [ \ ] ^ _ ` L M N O P Q R S T U V W ! " # $ % & ' ( ) * + vwxyz{|}~0(000000 0 0 0 0 0 0 0 00 00 0 0 0 0 0 0 00 0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00000000000000000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9~ -<Xr J N R V 1 o g k o s w {  ] a " ^ y9=^NRV"&*x| !"#$%&'()*+,./0123456789:;=>?@ABCDEFGHIJKLMNOPQRSTUVWYZ[\]^_Z a df;=su3333333332bc %-:;OOVVnuvv&XxPQZ ] {k9 5h+l,`(geUVklrsyz4CJKLMNOPQRSTUVW12BCYfoz56?Pghijklmnopqrstuvwxyz{| ]^_`ab"#AB^_VRw x   7 8 9 : ; < = > Y Z _ ` L M N O P Q R S T U V W ! " # $ % & ' ( ) * + vwxyz{|}~!aJ @<@@UnknownGz Times New Roman5Symbol3& z Arial"qhcf Dfbf!242HX ?l,2Payroll Account InformationCompaqPecan Ridge SchoolOh+'0  < H T `lt|Payroll Account InformationCompaqNormalPecan Ridge School5Microsoft Office Word@_@*\h@BN\h@O՜.+,0 hp|   ' Payroll Account Information Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`bcdefghijklmnopqrstuvwxyz{|}~Root Entry FOData adC1Table+FWordDocument*SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q