Prospective Employee Application

Application for Employment

    Personal Information

  • Desired Employment

  • Education

  • General

  • Former Employer-1

  • Former Employer-2

  • Former employer-3

  • References

  • List three people to whom you are not related and have known for at least one year.
  • “I certify that the information contained here is true and complete to the best of my knowledge. I understand that if I am employed by BDLC, and any statements are found to be false, this may be grounds for employment termination. I authorize the investigation of all statements and information contained in this application. I authorize that the references and employers listed may be contacted, unless otherwise noted. I authorize that the references and employers listed may give any and all needed information concerning my previous employment, and that any information pertinent to this job application may be released to BDLC for the purposes of making an employment decision.”
  • Bloomington Developmental Learning Center is an equal opportunity employer and does not discriminate in hiring practices as related to ethnic origin, religion, country of origin, gender, sexual orientation, or handicapping condition.