Tuition Rates 23-24
Therapy & Psychiatry
Tuition Rates 23-24
Therapy & Psychiatry
Position Applied For
Please complete all sections of this application. Resumes will not substitute for a complete application. Collage Day School is an equal opportunity employer. All applicants are considered for positions without regard to veteran status, uniformed service member status, race, religion, sex, national origin, age, physical or mental disability, genetic information, or any other category by applicable federal, state, or local laws.
Address Line 2
State / Province / Region
ZIP / Postal Code
Antigua and Barbuda
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Congo, Democratic Republic of the
French Southern Territories
Heard Island and McDonald Islands
Isle of Man
Korea, Democratic People's Republic of
Korea, Republic of
Lao People's Democratic Republic
Northern Mariana Islands
Palestine, State of
Papua New Guinea
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
South Georgia and the South Sandwich Islands
Svalbard and Jan Mayen
Syria Arab Republic
Tanzania, the United Republic of
Trinidad and Tobago
Turks and Caicos Islands
US Minor Outlying Islands
United Arab Emirates
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
How long have you lived at your current address?
How did you hear about us?
Desired Salary / Hourly Rate?
If under the age of 18, can you produce the essential work certificate at the time of employement?
Date on which you can start work if hired?
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Do you have a valid Driver's License?
Have you ever plead guilty or no contest to, or been convicted of any criminal offenses including DUI or DWI? (Do not include convictions that were sealed, eradicated, erased, annulled by a court, or expunged, or convictions that resulted in referral to a diversion program).*
Have you been arrested for any matters for which you currently are out on ball or on your own recognizance, pending trial including DUI and DWI?*
Have you ever initiated an act of violence in the workplace?*
If yes for any of the above questions, provide the date(s) and explain so that individual circumstances can be considered. Criminal convictions or arrests will not automatically disqualify an applicant from a particular job.
Please write below any Honors received or Certifications
Area of Study
# of Years Completed
If applicable, list below any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc.
Please list the names of your present and/or previous employers, within the last five years, in chronological order with present or last employer listed first. Account for all periods of time including any period of unemployment.
List from most recent employer*
Type of Business
May We Contact?
Please provide the reason for leaving (from the most recent employer)*
Can you perform the major job functions as listed in the job description with or without reasonable accommodations?*
If any accommodations are needed, please list and describe below
I understand that Palm Valley Child Development Center may now have, or may establish, a drug-free workplace to include a drug and alcohol testing program consistent with applicable federal, state, and local laws.
I understand that if a pre-employment (post-offer) or a random drug and alcohol test is positive, the employment offer may be withdrawn or employment may be terminated. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local laws.
I understand and consent to pre-employment and random drug tests as a condition of employment and further agree to undergo alcohol and drug testing consistent with Palm Valley Child Development Center policies and procedures.
I understand and agree that Palm Valley Child Development Center, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property.
I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local laws, I may be required to sign a confidentiality, restrictive covenant, non-compete agreements, and/or conflict of interest statements.
I certify that all the information on this application and any supporting documents presented with this application is accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate termination.
Palm Valley Child Development Center is an at-will employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the company or I may terminate the employment relationship at any time, for any reason, with or without cause or notice. This application or any document or statement, written or oral, shall limit the right to terminate employment-at-will. No officer, employee, or representative of the company is authorized to enter into an agreement express or implied, with me or any applicant for employment for a specified period of time unless such agreement is in a written contract signed by the CEO of the company.
IF HIRED, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF Palm Valley Child Development Center. I FURTHER UNDERSTAND THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, WITH THE EXCEPTION OF ITS EMPLOYMENT AT-WILL POLICY.
I authorize Palm Valley Child Development Center to confirm all statements contained in this application and/or résumé as it relates to the position I am seeking and to the extent permitted by federal, state, and local laws. I agree to comply with any and all required pre and post-employment screenings to include a background check, drug screen, and driving history investigation.
I authorize and consent to, without reservation, any party or agency contracted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to Palm Valley Child Development Center authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above-requested information. I hereby release from liability Palm Valley Child Development Center for seeking such information and all other persons, corporations, or organizations furnishing such information.
If hired by Palm Valley Child Development Center, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States. I also understand Palm Valley Child Development Center employs only individuals who are legally eligible to work in the United States.
I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE.
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