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Personal Information

Do you have a resume?
Are you interested in...
What age group are you interested in working with?
Are you at least 18?
Are you authorized to work in the United States?
During the past 20 years, have you been convicted of, or have you pled guilty or no contest to, a felony offense? If yes, please explain in the space below. (Answering "yes" to this question will not automatically bar you from employment unless applicable law requires such action.)
If considered for employment, a background check will be conducted by Texas Health and Human Services as required by law.


High School



Have you attended any childcare training coures?
Have you had CPR and First Aid training in the past two years?

Employment History (begin with most recent)

I certify that I have fully and accurately answered all questions and have given all information requested in this application for employment, and I understand that any wrong or incomplete information on the form may disqualify me for further consideration for employment or, if discovered after I am hired, may be grounds for my immediate dismissal. I understand that all such information is subject to verification by Bloom learning academy, and hereby give my consent to Bloom Learning Academy to investigate my background and qualifications using any means, sources, and outside investigators at its disposal. I agree to undergo any type of drug and/or alcohol testing that Bloom Learning Academy may require at any time. Finally, I understand that submission of this application does not necessarily mean that I will be hired, and that if I am hired, my employment will be at will, and either I or Bloom Learning academy may terminate my employment at any time, with or without notice or reason.