Employment Application

Select your Pinnacle Kids Academy location:

Personal Information

Last Name:
First Name:
Middle Initial:
Street Address:
City:
State:
Zip Code:
Are you 18 years or older?
 Yes No

Contact Information

Home Phone:
Cell Phone:
Email Address:

Employment Information

Desired Position:
Hourly Rate Desired
Are you employed now?
 Yes No
Date available to begin working:
 
Have you previously applied at any PKA location?
 Yes No
If so, when?
Which Location?
Are you a relative to any existing PKA employee?
 Yes No
If yes, state their name and PKA location
Are you currently legal to work in the United States?
 Yes No
Have you ever worked in a child care facility?
 Yes No
Are you First Aid certified?
 Yes No
State law requires that criminal history check be done on all child care personnel. Have you been convicted of any crime in the past ten years, excluding misdemeanors and summary expenses, which has not been annulled, expunged or sealed in court?
 Yes No
Attach Resume: