KidZ at Heart Staff Member Application

KidZ at Heart Staff Member Application
1. Personal Information
Name*

First NameLast Name
Preferred Name / Goes By*
Phone Number*

Area CodePhone Number
Phone Type*
Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Citizenship*
Position Applying For*
Available to Start

MonthDayYear
Date
How did you hear about us? (optional)

Online job boardKidZ WebsiteFriend or Family Member*Other*
*Other/Referred by:
If you selected other above, please provide information. If you were referred by someone, please indicate their name.
2. Education & Special Skills
What special skills do you bring to an organization that trains children's workers?*
List diplomas, degrees, certificates or specialized training you have received and year earned.*
3. Employment
Current Employer*
Current Employer Contact Information*
May we contact your current employer?*
Current Position*
Responsibilities at current employer*
Reasons for Leaving Current Employer*
Previous Employer*
Previous Employer Contact Information*
May we contact your previous employer?*
Last Position at Previous Employer*
Responsibilities at Previous Employer*
Reasons for Leaving Previous Employer*
Previous Employer*
Previous Employer Contact Information*
May we contact your previous employer?*
Last Position at Previous Employer*
Responsibilities at Previous Employer*
Reasons for Leaving Previous Employer*
Why do you want to be involved on the KidZ at Heart Staff?*
What experiences have you had in cross-cultural ministry?*
4. Verification of Accuracy & Authorization for Release of Information
I recognize that KidZ at Heart International is relying on the information contained in this application. Accordingly, I attest and affirm that all of the information that I have provided KidZ at Heart (in this and all other steps of the application process) is absolutely true and correct.

I authorize KidZ at Heart International to contact any person or entity listed in this application, and I further authorize any such person or entity to provide KidZ at Heart with information, opinions, and impressions relating to my background, qualifications, character, or fitness for work with children or youth or in ministry leadership. I voluntarily release KidZ at Heart and any of its agents and any such person or entity who provides this information from all liability involving the communication of such information relating to my background, qualifications, character, or fitness for work with children or youth or ministry leadership. I further authorize KidZ at Heart to conduct a criminal background investigation.

I waive any right that I may have to inspect references provided on my behalf. I further agree to allow personal information about me to be discussed as necessary between the President, Board of Directors, and key staff members of KidZ at Heart, and with any legal counsel obtained by KidZ at Heart. I also understand that KidZ at Heart volunteers may assist in reviewing applications and making reference calls.

I agree to abide by all policies and procedures of KidZ at Heart International and to submit to the authority of the President and the Board of Directors. I further agree to refrain from unscriptural, immoral, or illegal conduct while I am considered a part of the ministry staff of KidZ at Heart.
Authorize / Do Not Authorize?*
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KidZ at Heart Staff Member Application

1. Personal Information

2. Education & Special Skills

3. Employment

4. Verification of Accuracy & Authorization for Release of Information