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Leo Employment Application

Personal Information

Address *
Street Name


Are you currently employed by LEO? *
Have you ever been employed by LEO? *
If yes to either question above, please complete the following information:

Immediate Family Working at LEO

Please disclose the names of any immediate family members including spouse, parent, child, or sibling who are current LEO employees.

LEO will not allow an immediate family member to directly supervise another family member. Additionally, LEO will not allow two immediate family members to work for the same Program Director without express written consent of the CEO.

Availability & Eligibility

Are you at least 18 years of age? *
Are you legally eligible to work in the United States, an can you submit verification of your legal right to work in the United States upon being offered a position? *
Have you been found to have abused or neglected a child either in Massachusetts or elsewhere? *

Employment History

Please begin with your most recent employment and continue with all past employment.

  • Employment History section must be completed in full even in your resume is submitted.
  • Applicants may include verifiable work performed on a volunteer basis.

List Employment

Employer Address
Employer Address
Street Name
May we contact this employer?

Education & Skills

All Applicants:

If you are selected for a position with minimum educational requirements or specific certifications, a copy of your transcripts, diploma, GED or certifications will be required prior to employment.

Did you graduate from high school? *
If not, have you obtained a GED?

Please list any colleges or technical schools you have attended:

Early Childhood Education Applicants

Have you earned a Preschool Child Development Associate (CDA)?
Have you earned an Infant Toddler CDA?
Do you have a Department of Early Education and Care (DEEC) license?
If yes, check all that apply *

Driver's License Information

Do you have a valid driver's license? *
Do you have a bus driver's license?

If yes, please provide the following information:

Professional References

List at least two people not related to you who can comment on your work performance.

List Professional References

Street Name

Referral Source

Statement of Interest

Notification & Agreement

All of the information that I have provided on this application is accurate to the best of my knowledge. I authorize Lynn Economic Opportunity, Inc. to make inquiries to determine my suitability for employment. In signing this application, I understand that my previous and present employers may be asked for information relative to my employment record with them. Further, I understand a Background Records Check may be completed prior to employment. An additional release for the Background Records Check will be provided as part of the application process.

I understand applicants for all positions within the Early Childhood Development Program who have direct contact with children are required to undergo a post-offer, pre-employment medical examination to be conducted by a physician designated or approved by LEO. Any conditional offer of employment that an Early Childhood Development Program applicant receives from LEO is contingent upon, among other things, satisfactory completion of this examination and screening and a determination by LEO and its examining physicians that the applicant is capable of performing the essential functions of the position that has been offered, with or without reasonable accommodation.

It is the policy of LEO to afford equal opportunity to all employees and applicants without regard to age, race, religion, color, sex, national origin, marital status, expunged juvenile records, pregnancy, sexual orientation, ancestry, or genetic information; and afford equal opportunities to disabled veterans of the Vietnam era and to individuals with a disability or any other characteristic protected by Federal, State or Local Law.

I fully understand and agree that any section left incomplete on this application; any false, inaccurate and/or misleading statements made by me on this application or by me failure to answer any applicable questions on the application; any false, misleading, or inaccurate information contained on the certificates, documents, or other papers which may accompany this application (i.e. misrepresentation of prior employment, education, or training); or any false, misleading or inaccurate information provided during the entire selection process will be sufficient cause for my application being rejected or for my discharge from LEO at any time after employment.

Please recheck your application and make sure that all questions are answered correctly prior to signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.