Childcare Staff Application

Childcare Staff Application

Tell us about you and your preferences working with kids!
Legal Name*

First NameLast Name
Phone*
Email
example@example.com
Are you at least 18 years or older? Please note, Vista does not hire employees under the age of 18 years. Exceptions may be considered in limited circumstances and require, at a minimum, verification of minimum legal age and written approval from Vista Human Resources.*

YesNo
Do you regularly attend Vista Community Church?*

YesNo
Are you currently a Vista Kids Volunteer?*

YesNo

Which age group do you feel most comfortable working with?*

	Not a Good Fit	Neutral	Love This Age	Favorite Age
Infants
Toddlers
2 -3 Year Olds
Pre K
Elementary

If hired, do you plan to bring your own children with you?*

YesNo
Please include names and birth date of ALL children you plan to bring with you.
Is there anything else you feel we should know when assigning ages?
Example: "Please no diapers!", "Please put me in the same room as my own child", "Not able to sit on the floor", "Can only stand for short periods of time", "Prefer children who can communicate verbally", etc.
Values & Security Acknowledgements

You can view Vista's Core beliefs at www.thevista.tv/what-we-believe.
Have you read and do you agree and understand Vista's core beliefs?*

YesNo
Please briefly explain
Who is someone (not a family member) we can call to get to know you better?*

First NameLast Name
What is their phone number?*
What days/times would you like to apply for? Times are approximations and subject to change.*

Mondays 5:30pm - 8:30pm (Infants - 5th grade)Wednesdays 9:00am -12:00pm (Infants - 5th grade)Thursdays 9:00am-12:00pm (Infants - 5th grade)Special Events (Occasional Weekday Evening or Weekend)
What days/times would you be available for Special Events?
Have you previously worked for (and been paid by) Vista Community Church?*

YesNo
Please give the best estimate of the last date worked.*
Is there anything else you would like to include before we process your application?
General Info
Have you ever used another name?*

YesNo
To enable a check on your work and educational record, is any additional information needed relative to a name change or use of an assumed name or nickname?*

YesNo
If yes to either #1 or #2 above, please explain:
On what date are you available to begin work?*

MonthDayYear
Date
If hired, can you present evidence of your identity and legal right to work in the US?*

YesNo
Vista complies with the ADA and considers reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions. Are you able to perform the essential job functions of the job for which you are applying with or without reasonable accommodation?*

YesNo
If hired, can you present evidence of your identity and legal right to work in the US?

YesNo
Applicant Agreement:

Please read and initial each paragraph below. If there is anything that you do not understand, please ask.
Initial Here* I hereby authorize Vista to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the prior employers and references I have listed to disclose to Vista any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Vista, my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
Initial Here* In the event of my employment with Vista, I understand that I am required to comply with all Vista's policies & procedures and applicable laws and regulations.
Initial Here* If hired, I understand and agree that my employment with Vista is
at-will, and that neither I, nor Vista is required to continue the employment relationship for any specific term. I further understand that Vista or I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that the at-will status of my employment cannot be amended, modified, or altered in any way by any oral modifications.
Initial Here* I understand that safety of employees is extremely important to Vista and that Vista is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health.
Initial Here* I hereby certify that the answers given by me are true and correct to
the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
Initial Here* I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.
Initial Here* I understand that if any term, provision, or portion of this Agreement
is declared void or unenforceable, it shall be severed, and the remainder of this Agreement shall be enforceable.
Initial Here*I understand that employment with Vista is contingent upon the successful completion of a criminal background check.
Signature*

Clear
Should be Empty:

Childcare Staff Application

Values & Security Acknowledgements

General Info

Applicant Agreement: