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Employment Application

Register to work with us

Please complete the following confidential registration form so we can gain an overview of you and discuss how you can be part of our team.

We do realize that you may have current employment commitments which could conflict with your contact to us at Clockwork.

To ensure confidentiality and contact with you only, we ask that you provide us with the most secure contact details possible.

Personal Information
First Name:
Surname:
Email:
(Please supply an email address where we can contact you confidentially)
Home Phone:
Cell Phone:
Street:
Town:
Zip Code:
State:
Date of Birth:     Year
Marital Status: Married         Divorced         Other
Do you have children? Number           Ages

Experience
Current Employment Status: Full-time
Part-time
Seeking Employment
Not Employed
Maternity/Paternity Leave
Are you employed in childcare: Yes         No
In what capacity:
Do you have formal qualifications: Yes         No
If yes, please list qualifications:
Years of Experience:

Position with Clockwork Learning Centers
Position:
Work Type: Permanent         Casual         Part-time
Preferred Location: Town
  Zip Code   State

Clockwork Learning Centers recognizes that your privacy is very important to you. Providing your personal information is an act of trust that we take very seriously. Clockwork Learning Centers will not sell, trade, give or rent any information obtained from you to a third party. See our full privacy policy.