Employment

PERSONAL INFORMATION

NAME

SOCIAL SECURITY NUMBER

CURRENT ADDRESS

City

State/Province

Zip/Postal

Country

PHONE

ARE YOU 18 YEARS OF AGE OR OLDER?

YES

ARE YOU LEGALLY ELIGIBLE TO WORK IN THE UNITED STATES?

YES

HAVE YOU EVER BEEN CONVICTED OF A FELONY?

YES

PLEASE EXPLAIN

EMPLOYMENT INFORMATION

POSITION APPLYING FOR

DATE YOU CAN START

ARE YOU ABLE TO PERFORM JOB RELATED TASKS WITH OR WITHOUT ACCOMMODATION ?

DO YOU DESIRE FULL-TIME OR PART-TIME?

FULL-TIME

PART-TIME

DAYS AND HOURS AVAILABLE

ARE YOU CURRENTLY EMPLOYED?

YES

MAY WE CONTACT YOUR CURRENT EMPLOYER?

YES

HAVE YOU EVER BEEN CONVICTED OF A FELONY?

YES

LIST ALL EDUCATION AND TRAINING RECEIVED, STARTING WITH MOST RECENT:

NAME OF SCHOOL

LOCATION OF SCHOOL

City

State/Province

Zip/Postal

Country

YEARS ATTENDED

SUBJECTS STUDIED

DID YOU GRADUATE?

YES

DEGREE ACQUIRED

Add Remove

EMPLOYMENT INFORMATION

EMPLOYER

ADDRESS

City

State/Province

Zip/Postal

Country

PHONE

DATES EMPLOYED

POSITION HELD

SUPERVISOR

REASON FOR LEAVING

STARTING PAY

FINAL PAY

Add Remove

REFERENCES

NAME

BUSINESS

ADDRESS

City

State/Province

Zip/Postal

Country

PHONE

YEARS ACQUAINTED

Add Remove

SPIRITUAL BACKGROUND

As a Christian educational ministry of GraceLife Church of Pineville, we are concerned with the task of providing children and their families a quality Christian education, based upon this task, briefly share your personal experience with Jesus Christ.

Conditions

I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL EMPLOYER ADDRESS PHONE DATES EMPLOYED POSITION HELD SUPERVISOR REASON FOR LEAVING STARTING PAY FINAL PAY NAME & BUSINESS ADDRESS PHONE & EMAIL YEARS ACQUAINTED OR OTHERWISE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU.

I UNDERSTAND AND AGREE THAT, IF HIRED, I AM SUBJECT TO THE POLICIES CONTAINED IN GRACELIFE CHURCH OF PINEVILLE PERSONNEL HANDBOOK AND A 90 DAY OBSERVATION PERIOD. I FURTHER UNDERSTAND THAT THIS APPLICATION IS NOT A CONTRACT OF EMPLOYMENT, NOR A LEGAL DOCUMENT, AND NOTHING CONTAINED HEREIN CREATES A CONTRACT BETWEEN GRACE LIFE ACADEMY AND ME.

I CONSENT TO GRACELIFE ACADEMY CONDUCTING A CRIMINAL RECORDS CHECK. I AUTHORIZE THE APPROPRIATE LAW ENFORCEMENT AGENCY TO RELEASE INFORMATION PERTAINING TO ANY RECORD OR FILE MAINTAINED ON ME AND RELEASE SAID AGENCY FROM ANY AND ALL LIABILITY RESULTING FROM SUCH DISCLOSURE.

If you are human, leave this field blank.

Preschool

PERSONAL INFORMATION

EMPLOYMENT INFORMATION

EDUCATION INFORMATION

LIST ALL EDUCATION AND TRAINING RECEIVED, STARTING WITH MOST RECENT:

EMPLOYMENT INFORMATION

REFERENCES

SPIRITUAL BACKGROUND