Please fill out completely. Fields marked with an * are required.
All applicants must be able to pass a background check for consideration.
Are you a citizen of the United States?*
Have you ever been convicted of a felony?*
Would you be available each week?*
Are you available until at least midnight?*
Do you have reliable transportation at night?*
I hereby affirm and declare that the statements I have made on this application are true and
complete to the best of my knowledge. I authorize Planet Kidz to conduct any investigation it
deems necessary regarding me and my lifestyle for the purpose of determining my acceptability
for the position for which I am making application. I authorize any agency, organization,
present or former employers, personal references, credit bureaus, and/or other persons to give
information to Planet Kidz concerning my character, health, credit, and employment or education
records. I hereby unconditionally release Planet Kidz and any information from any liability
resulting from sharing of this information.