Little People's Landing Learning Center - quality childcare in the Denver, Colorado area


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*First Name:
*Last Name:
*Address 1:
Address 2:
*Zip Code:
*Home Phone #
*Birth Date: (MM/DD/YYYY)
*Social Security #
*Position Desired:  
  Full Time Part Time Any
*Hourly Rate Desired:
*Date Available To Start:
*Current Employer:
Employer's  Phone #
Drivers License #
Are you 16 or older? Yes    No
Are you 19 or older? Yes    No
*Date of Last Physical:
*Date of Last T.B. Test
Do you have any physical or mental health issues that would put children in your care at risk?
Yes    No
*Have you ever been convicted of child abuse, unlawful sexual behavior, or a felony of any kind?
Yes    No
Do we have your permission to verify your work experience and qualifications?
Yes    No
*High School Name/Address:
*College Name/Address:
How Many College Credits In:
Child Growth & Development?
Creative Activities for Preschool?
Music, Science, Art, Literature for Preschool?
Methods of Teaching Children?
Any Other Classes Related to Teaching Children?
Are You Certified in the Following Areas:
*First Aid?   Yes      No
*Infant CPR?   Yes      No
*Universal Precautions?   Yes      No

(please list current to oldest)

From To Name/Address Name of Supervisor Phone Reason for leaving


*Name, Address & Phone # of references you have known at least one year
*Why are you interested in working with children?
*Why are you interested in working with LPL?
Name of current LPL employee that recommended you
*Have you ever worked with LPL before?   Yes      No
If so, when?
If so, what school?
Each school offers a babysitting service one Saturday night per month and on New Year's Eve.
*Are you willing to work a few Saturday Nights a year?   Yes      No
How about New Years Eve?   Yes      No
Are you a citizen of the United States or do you have the legal right to be employed in the United States?   Yes      No
I certify that I qualify for the position I applied for according to the current edition of the THE MINIMUM RULES AND REGULATIONS FOR CHILDCARE CENTERS issued by the state of Colorado. I agree to comply with all of the requirements of the state manual. I further certify that the information given is true to the best of my knowledge.

Note: If you are applying for an entry level position (Aide), the only state qualification for the position is to be 16 years old. If you are applying for any other position and you are unsure of the qualifications, please ask the schools director.
I agree to the above stated text

"Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503 CRS and upon conviction thereof, shall be punished accordingly." 



Little People's Landing Learning Center
8305 S. Wadsworth Blvd. · Littleton, CO 80123
Phone: (303) 972-0787 · Fax: (303) 972-9582 · Email:

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