Application Form

Can you provide the following:

If hired, applicant will be required to provide proof of citizenship/legal right to work in the US.

For the safety of all, Premier Children's Center is a drug-free work environment and employees are not allowed to work under the influence of anything that will impair their judgement or performance. Premier Children's Center randomly drug tests employees for compliance with its drug-free policy.

Education:

On a scale of 1 to 5, with 5 being the highest, rate your

Three Professional References:

Three Personal References:

By my signature, I give Premier Children's Center permission to inquire about my references and past employment history.

By my signature, I declare that the information provided in this application is true and complete.  If you employ me, any misstatements or omission of fact on this application may result in my dismissal.