Chapelstreet Job Application - Coordinator of Shepherd's Heart and Benevolence

Employment Application: Paid Childcare Worker

Please fill in all fields. Be sure to sign (see end of form) and date. You must complete this application all at once.

Name *

First Name Middle Name Last Name

Maiden name, if any

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Home Phone *

Area Code Phone Number

Cell Phone *

Area Code Phone Number

E-mail *

How do you prefer for us to reach you? *

Home Phone Cell Phone Email

Are you eligible to work in the United States? *

Yes No

Availability

How many hours per week are you available? *

What days can you work? *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Date you can start work *

Month Day Year

Qualifications

Summary of qualifications for this position (skills, training, experience, Licenses, etc) *

Church Information/Experience

Do you attend worship services at Chapelstreet Church? *

Yes No

How long have you attended Chapelstreet Church? *

Less than 6 months 6 months to 2 years 3 - 5 years 5 - 10 years More than 10 years

How frequently do you attend? *

Weekly Twice a month Once a month or less

Do you currently serve or have you previously served in any other ministries at Chapelstreet Church? *

Please identify: name of ministry, length of service & ministry leader

What was your previous church affiliation in the last 2 years (If not Chapelstreet Church)? *

Please identify: name of church, location, phone number, pastor's name, dates attending this church & reason for leaving.

Please list any ministry/ volunteer experience you have had with children. *

Please identify: where you were involved, length of service, your position/role, and a contact name with email and phone number.

References
Please provide 3 references:

#1 - A personal reference. The person should have known you for at least two years

#2 - An occupational reference (or another personal reference if you are not employed)

#3 - A ministry person whom you have served with and can identify your character weaknesses and strengths.

#1 - Personal reference

Name/Title *

Phone *

Email *

Length of relationship *

Nature of relationship: *

#2 Occupational Reference (or an additional personal reference)

Name/Title *

Phone *

Email *

Length of relationship *

Nature of relationship: *

#3 Ministry Reference (Pastor, Director, Coordinator, Group Leader, etc)

Name/Title *

Phone *

Email *

Church/Service Organization/Other *

Describe nature of relationship & length of service: *

Statement of Faith

Please share your spiritual journey, including how you began your relationship with Jesus Christ, what you are doing to grow spiritually, and how you live out your faith in daily life. *

Do you believe that Jesus is the Christ, the Son of the Living God? *

Yes No

Do you believe that the Bible is the holy Word of God, written under the inspiration of the Holy Spirit, and that it has supreme authority in all matters of faith and practice? *

Yes No

Do you believe there is one living and true God, eternally existing in three persons: Father, Son and Holy Spirit? *

Yes No

Do you believe that mankind was created in the image of God, fell from our position through disobedience and broke our relationship with God? And that restoration with God is made possible only by personal faith in Jesus' death and resurrection as payment for our sin and the gift of eternal life? *

Yes No

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination at any point in the future if I am hired. I authorize the verification of any or all information listed above, including having references provide you with information or opinions they may have about my fitness for employment. I hereby release all such references from any liability for furnishing information or opinions to you.

Signature *

Date *

Month Day Year