Instructions for employment application 1. Applications are only accepted if an advertised position is available. If a position is available in a county center, the address for that location will be listed in the advertisement. Application and updated resume must be received in our office by the deadline or the application will not be considered.
2. The application must be filled out entirely. Do not use "see resume."
3. If you are applying for a Head Start position you must complete the Declaration Form for Prospective Employees of Head Start. All applicants must complete the Missouri Family Care Safety Registry Worker Registration Form.
Preferred contact phone number
Mailing address
City
State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D. C. West Virginia Wisconsin Wyoming
ZIP code
Have you ever been employed by or volunteered for OACAC
If you have volunteered or worked for OACAC before, please indicate position and date
Is any member of your family presently working for OACAC in any capacity
If you have family members working for OACAC, please state name and position
Have you ever been convicted of a crime other than a minor traffic violation
If you have been convicted of a crime other than a minor traffic violation, please explain
Do you have a valid Missouri driver's license
Do you have transportation
Do you have a CDL with passenger endorsement
Did you graduate from high school or receive a GED Certificate
Are you at least 18 years of age
Education Please fill out as much information about your education as you can.
School name and location
Number of hours completed
Major
Minor
Diploma or degree earned
Education Continued If you attended more than one school, you can include it here.
School name and location
Number of hours completed
Major
Minor
Diploma or degree earned
Skills Please list any relevant skills.
Computer experience, check all that apply
If you have any other computer skills, please list them
List clerical, phone, and office skills
List work experience with children. Include age groups of the children
List any social work, case management, and volunteer work experience
Have you lived somewhere other than the state of Missouri in the last 5 years
If you answered yes to the question above, please list which states
Certifications List any certifications.
License/Certifications
State
Profession
License/Certification number
Expiration date
Resume, Letter of Interest, and Transcript Upload Here you will upload a resume. Certain jobs also require a letter of interest and/or transcript.
Employment history 1. Start with your current or last job
2. Include armed forces service and self-employment information
3. Any change of job title under the same employer should be considered a separate position
May we contact your current employer for a reference
What date would you be available for work
Job 1
Employer
Employer phone number
Employer address
Supervisor's name
Type of business
Your job title
Date that you began employment
Date that you ended employment
Duties
Monthly salary
Reason for leaving
Job 2
Employer
Employer phone number
Employer address
Supervisor's name
Type of business
Date that you began employment
Date that you ended employment
Duties
Monthly salary
Reason for leaving
Job 3
Employer
Employer phone number
Employer address
Supervisor's name
Type of business
Your job title
Date that you began employment
Date that you ended employment
Duties
Monthly salary
Reason for leaving
Job 4 Here is an extra job section if you need it.
Employer
Employer phone number
Employer address
Supervisor's name
Type of business
Your job title
Date that you began employment
Date that you ended employment
Duties
Monthly salary
Reason for leaving
How did you hear about us?
How did you learn about the position(s) you are applying for, check all that apply
If you learned about the job position(s) some other way, please describe that here
Other qualifications List any other qualifications you think might be relevant to the position(s) you are applying for.
Other qualifications
References List the names of three persons, not related to you, who can provide work-related references and who you have known for at least one year.
Reference 1
Reference name
Reference phone
Reference email
Number of years you have known
Reference occupation
Reference 2
Reference name
Reference phone
Reference email
Number of years you have known
Reference occupation
Reference 3
Reference name
Reference phone
Reference email
Number of years you have known
Reference occupation
Applicant statement By checking the box below, I authorize investigation of all statements made on my resume, application, or those made during an interview for job selection. Such investigation may include checks for criminal record, driving record, child abuse/neglect record, drug and alcohol testing, references, and past/current employers. In addition, I authorize my former employers to furnish and release all information relating to my employment, such as the quality of my work, dates of employment, and reasons for leaving. Finally, I agree to release OACAC, any former employers, and all references listed above from any and all claims, demands, or liabilities arising out of or related to such investigation or disclosure.
I understand that all information will be considered in determining eligibility for employment and that false or dishonest answers to any question will be grounds for an ineligible rating for employment with OACAC or for dismissal after employment. All findings related to the employment investigation will be preserved in the applicant's file.
I understand that this application does not constitute an agreement or contract for employment for any specified period or definite duration.
By checking this box I understand this constitutes an electronic signature which authorizes the above statements
Declaration Form for prospective employees of Head Start programs Federal policies require that Head Start agencies require all prospective employees to sign a declaration prior to employment which lists:
1. All pending and prior criminal arrests and charges related to child sexual abuse and their disposition
2. Convictions related to other forms of child abuse and/or neglect
3. All convictions of violent felonies
The declaration may exclude:
1. Any offense other than one related to child abuse and/or child sexual abuse or violent felonies committed before the prospective employee's 18th birthday, which was finally adjudicated in a juvenile court or under a youth offender law
2. Any conviction for which the record has been expunged under Federal or State law
3. Any conviction set aside under the Federal Youth Correction Act or similar State authority
Note that individuals who declare through this form that they have been arrested, charged with, or convicted of any of the offenses listed above are not automatically disqualified from being hired. OACAC must review each case to assess the relevance of an arrest, charge, or conviction to a hiring decision.
If you have relevant convictions, Please list the offense(s), the date(s) of the arrest, charge, and/or conviction, and other relevant information
