CELEBREE Learning Centers
Application For Employment

CELEBREE provides equal employment opportunities for all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, marital status or other prohibited characteristics in accordance with applicable federal, state and local laws.

Personal Data Today's Date: Desired Location: Last Name: First Name:    Middle Initial: Street Address: City, State, Zip: Home Telephone: Work Telephone: Email Address:

Employment Information For which position are you applying?   Wage Desired: How did you hear about this opportunity?  Are you legally eligible for employment in the United States? YesNo Type of employment desired:  Full-TimePart-TimeTemporary Are you currently employed?  YesNo Have you ever been convicted of a crime which has not been annulled, expunged or sealed by court? YesNo If "yes", describe in full:   Note that a "yes" answer to the above question will not necessarliy prevent employment.  We will consider the relevant circumstances.

Education and Training Name and City              Course of Study              Years Completed            Degree High School               College               Graduate               Special Training               Additional Info

Work Experience                       (Start with your present or most recent employer) Employer   Dates of Employment:  To Address Telephone:     Supervisor:  Job Title:   May we contact for reference?  YesNo Duties: Last Rate of Pay:   Reason For Leaving: Employer   Dates of Employment:  To Address Telephone:     Supervisor:  Job Title:   May we contact for reference?  YesNo Duties: Last Rate of Pay:   Reason For Leaving: Employer   Dates of Employment:  To Address Telephone:     Supervisor:  Job Title:   May we contact for reference?  YesNo Duties: Last Rate of Pay:   Reason For Leaving:

UNDER MARYLAND STATE LAW AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT OR ANY EMPLOYEE TO SUBMIT TO OR TAKE A POLYGRAPH, LIE DETECTOR OR SIMILAR TEST OR EXAMINATION AS A CONSIDERATION OF EMPLOYMENT OR CONTINUED EMPLOYMENT.                               Applicant Name                                                                              Date The information I have provided on this application is true and complete to the best of my knowledge. I understand that, any misrepresentation or omission of any fact in my application, resume, or any other materials, or during my interview(s), can be justification of refusal of employment, or if employed, termination. In processing my application for employment, the company may verify all information for this purpose concerning my prior employment, military record, education, character, general reputation, personal characterisitcs, criminal record, and mode of living. I will be informed whether an investigative consumer report was requested and be given full information as to the nature and scope of the investigation in compliance with applicable laws. I authorize and request that all of my present and former employees I have listed, furnish information about my employment record, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information. I understand that if I become employed by CELEBREE Learning Centers, my employment is voluntary and at-will. Accordingly, either CELEBREE or I can terminate the employment relationship at-will, with or without cause, at any time. Submit Application (please only click once)