Application Form

REFERENCES

Please provide the names and contact information for three Christian Scientists who will be able to supply current references. Be sure to choose people who know you well, preferably one who is a Journal-listed practitioner, one who is a Christian Science nurse, and/or one who is a fellow branch church member.

Please provide three references and notify them that you have authorized High Ridge House to contact them:
1. Reference*

First NameLast Name
1. Email*
example@example.com
1. Work Phone
Please enter a valid phone number.
1. Mobile Phone*
Please enter a valid phone number.
1. City, State & Country*
1. Relationship*
2. Reference*

First NameLast Name
2. Email*
example@example.com
2. Work Phone
Please enter a valid phone number.
2. Mobile Phone*
Please enter a valid phone number.
2. City, State & Country*
2. Relationship*
3. Reference*

First NameLast Name
3. Email*
example@example.com
3. Work Phone
Please enter a valid phone number.
3. Mobile Phone*
Please enter a valid phone number.
3. City, State & Country*
3. Relationship*
OTHER INFORMATION
Please list any special skills, qualifications, requirements, or other information you wish to bring to High Ridge House’s attention. You may, but are not obligated, to volunteer information about a protected status.
Please upload documents in PDF format.
Upload cover letter, resume, and other relevant documents.

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CHURCH MEMBERSHIP & INVOLVEMENT

If applying for non-Christian Science positions, click next.
Name*

First NameLast Name
How long have you been a member of The Mother Church? (If hired, you must present a copy of the acknowledgment of your most recent annual per capita payment.)*
Are you currently a member of a branch church?*

YesNo
If so, where?*
Describe briefly what church work you have done (committees on which you have served, positions held, special activities, etc.)*
Have you had Primary Class instruction?*

YesNo
If so, when?
With whom?
What else would you like to tell us about your study and application of Christian Science?*

CHRISTIAN SCIENCE PRACTICE

If applying for non-Christian Science positions, click next.
If you are applying for a Christian Science Nursing position, could you please share below the level of Christian Science Nursing Education that you have had, where and when you have taken your classes.

QUALIFICATION

Article VIII, Section 31 of the Manual of The Mother Church requires membership in The First Church of Christ, Scientist as a basic qualification for a Christian Science nurse. Membership in The Mother Church is also a requirement for religiously qualified positions at High Ridge House.

I understand that to apply for a religiously qualified position, I must be a member of The First Church of Christ, Scientist (The Mother Church).
Signature*

Clear
Date*

MonthDayYear

Initial* I have read the job description and the qualifications necessary for this position.

Initial* I adhere to the standards listed in this application and in the job description for this position. I understand that to deviate from these standards during my employment would subject me to discipline and/or disqualify me for this position.

Initial* I certify that the responses I have given in this application are true and correct to the best of my knowledge.
Signature*

Clear
Date*

MonthDayYear
Please verify that you are human*
Should be Empty:

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