Abacus Child Care - Early Learning Center

Abacus Child Care centers are located in Indianapolis, Carmel, Westfield and Fort Wayne, Indiana

Application for Employment
Click here for the printer friendly version of this application

Please specify the location you are applying for:

Abacus Childcare Westfield

16410 Southpark Drive
Westfield, IN 46074
Phone:	(317) 867-3536
Fax:	(317) 867-5543

Abacus Childcare Indianapolis

8420 Township Line Road
Indianapolis, IN 46260
Phone:	(317) 876-3081
Fax:	(317) 876-2126

Abacus Childcare Fort Wayne

6726 Pointe Inverness
Fort Wayne, IN 46804
Phone:	(260) 432-8737
Fax:	(260) 436-0029

Abacus Preschool Carmel

13101 Meridian Corners Blvd.
Carmel, IN 46032
Phone:	(317) 581-1222
Fax:	(317) 581-1444

First Name
Last Name
Phone Number
Street Address
City
State
Zip Code
Email Address

To work in an Indiana licensed child care facility you must:

1. Be 18 years of age (for 2-12 year olds) and 21 years of age (to work with infants or toddlers)

2. Have at least a GED or High School Diploma

3. Pass an Indiana State Criminal Check

4. Be free of communicable diseases
(physical and TB test required).

Your highest level of education:
Major courses studied:
Position applying for:
Rate of Hourly Pay expected:
List any specialized training you may have that would enable you to perform the job duties required by a child care facility e.g.(CPR, First Aid training, baby-sitting, parenting, teaching)
Have you ever worked for us before?	Yes No
When?
Have you worked under a different name?	Yes No
Name:
When are you able to start?	e.g.05/21/2001
Do you want to work full-time or part-time?
Which days?
Hours wanting to work:
Do you have reliable transportation?	Yes No
List any Professional Certifications or Specialized Training:

Employment History - Present Job
Starting Date
Ending Date
Name of Employer
Address of Employer
Phone Number of Employer	e.g. 260-555-9654
Salary	per hour
Position
Reason for Leaving
May we contact this employer?	Yes No

Employment History - Job 2
Starting Date
Ending Date
Name of Employer
Address of Employer
Phone Number of Employer	e.g. 260-555-9654
Salary	per hour
Position
Reason for Leaving
May we contact this employer?	Yes No

Are you either a U.S. Citizen or an alien who has the Legal Right to work in this country?	Yes No
Have you been convicted of a felony?	Yes No
If yes, Please Explain:

Authorization

I understand that as a condition of employment as required by the State of Indiana, a background/criminal check to confirm information contained in this application will be completed. I release Abacus and/or any other person, organization or institution from any and all liability that may result from any investigation into my background as conducted by Abacus, the management staff or others contracted to perform the service.

Thank you for completing this application form and your interest in working for us. Abacus Childcare and Abacus Management Company adheres to a policy of equal employment opportunity. All employment decisions are made without regard to race, religion, age, sex, color, national origin or handicap and are in full compliance with all federal and state laws. Your employment with this company is based on merit, past experience, and your ability to perform the job

I hereby certify that all the facts set forth in this employment application are true and complete to the best of my knowledge. I understand that misrepresentation or omission of facts on this application or any other Abacus records will be cause for the rejection of my application or my granting of an interview, implies or should be understood as a promise of employment. I also understand that should I be employed by Abacus that I have the right to terminate my employment at any time and that Abacus may at its discretion may terminate my employment at any time with or without prior notice. I authorize Abacus Child Care Center to investigate all references given and authorize them to disclose and validate the information provided herein. I also understand all information received will be held in confidence.

By submitting this form you agree to the Authorization statement above.

Private Krankenversicherung (PKV)