Job Application

Before you begin: Fields marked * are required. Please allow about 10–15 minutes. Your information is used only for employment consideration and required childcare personnel records.

Applicant Information

Tell us how to contact you.

First name *Middle nameLast name *

Date of birth *Date of application *

Street address *

City *County *State *ZIP *

Phone *Email *

Position & Availability

Help us understand where your schedule may fit.

Position applied for *Earliest start date

Employment desired *

Full-time Part-time Either

Available Monday through Friday? *

Yes No

Earliest time availableLatest time available

Classroom / age preference

NC Child Care Screening

North Carolina childcare employment screening questions.

Have you ever been convicted of breaking a law other than a minor traffic violation? *

Yes No

If yes, give the date and explain fully.

Have you ever had an abuse, neglect, or child maltreatment substantiation? *

Yes No

If yes, list county/state, date, and explain fully.

Do you currently have an NC child care criminal background check qualification letter? *

Yes No Unsure

North Carolina requires a criminal background check and qualification determination for people who work or provide care in a licensed or regulated childcare facility. The official qualification process is completed separately through the State.

Education & Training

Include education, early-childhood credentials, and relevant training.

Highest education completed *

School / institution *City and state

Course of study / majorDegree / diploma / credential

Have you completed EDU 119 / the NC Early Childhood Credential (or equivalent)?

Yes No In progress Unsure

Childcare training completed in the last 3 years

Work & Child Care Experience

Please list childcare/early-childhood experience first.

Current or Most Recent Employer

Employer nameEmployer phone

Job titleSupervisor

Start dateEnd date

Main dutiesReason for leaving

May we contact this employer?

Yes No

Previous Employer

Employer nameEmployer phone

Job titleSupervisor

Start dateEnd date

Main dutiesReason for leaving

May we contact this employer?

Yes No

Professional References

Please provide three people who can speak to your reliability and qualifications.

Reference 1 name *Relationship *Phone / email *

Reference 2 name *Relationship *Phone / email *

Reference 3 name *Relationship *Phone / email *

Job Readiness

Childcare work is active, attentive, and safety-focused.

Are you able to perform the essential duties of the position, with or without reasonable accommodation? *

Yes No

Are you willing to complete all required NC childcare orientation, training, health/TB documentation, and background-check steps if selected? *

Yes No

Why are you interested in working with children at Bethany Stepping Stones? *

Certification & Signature

Please read before signing.

I certify that the information I have provided is true, accurate, and complete to the best of my knowledge. I authorize Bethany Stepping Stones Christian Daycare to verify statements concerning my education, qualifications, references, licenses, and employment history as permitted by law. I understand that false information, omitted relevant information, or fraudulent documentation may result in rejection of my application or dismissal if employed.

I have read and agree to the certification above. *

Type your full legal name as your signature *Signature date *

Ready to submit? Your completed application will be converted to PDF and emailed to Bethany Stepping Stones.

Thank you. Your application is being submitted.