DMC Employment Application

Personal Data
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Have you been previously employed at DMC?*

YesNo
Name at time of employment (if different)
Previous position held
Dates Employed
What position are you applying for? *

Education
High School*
Name and Location (City, ST) of school
Did you graduate?*

YesNo
Do you have a GED?

YesNo
College/University (most recent)
Name and Location (City, ST) of college/university
Degree Received
Major
Minor
Did you attend an additional college/university?

YesNo
College/University (2)
Name and Location (City, ST) of college/university
Degree Received
Major
Minor
Did you attend an additional college/university?

YesNo
College/University (3)
Name and Location (City, ST) of college/university
Degree Received
Major
Minor

Work Experience
Company (most recent)
Position held
Dates
Name of Supervisor
Would you like to provide additional work experience?

YesNo
Company (2)
Position Held
Dates
Name of Supervisor
Would you like to provide additional work experience?

YesNo
Company (3)
Position Held
Dates
Name of Supervisor
Would you like to provide additional work experience?

YesNo
Company (4)
Position Held
Dates
Name of Supervisor
Would you like to provide additional work experience?

YesNo
Company (5)
Position Held
Dates
Name of Supervisor

Spiritual Background
Church Name*
Please provide information about the church you are currently attending.
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor's Name*
Do you attend regularly?*

YesNo
How long have you attended? *
Describe the activities you participate in and/or responsibilities you have in your church and your community.*
How did you come to know Jesus Christ as your Lord and Savior, and how does your relationship with Him impact your daily life?*
Based on your knowledge of Des Moines Christian School, describe why you are interested in this position.*

0/250

References

Provide three professional references. At least one reference should be someone who supervised you.
Reference Name (1)*
Organization/Position*
Relationship *
Phone Number*
Please enter a valid phone number.
Reference Name (2)*
Organization/Position*
Relationship *
Phone Number*
Please enter a valid phone number.
Reference Name (3)
Organization/Position
Relationship
Phone Number
Please enter a valid phone number.
Please add any comments regarding your references here:

Statement of Faith

Please read the DMC Statement of Faith.
Checking this box indicates that I have read and am in agreement with the DMC Statement of Faith and that I have personally accepted Jesus Christ as Lord and Savior of my life.*

Yes. I fully support the DMC Statement of Faith and have accepted Jesus Christ as Lord and Savior of my life.I support the DMC Statement of Faith with the following exceptions listed below and have accepted Jesus Christ as Lord and Savior of my life.I do not support the Statement of Faith.
I take exception to the DMC Statement of Faith in these areas:

Christian Lifestyle Commitment

Our school expects all of its employees to model the same Christian values and lifestyle that it seeks to promote in its students. Please read our Christian Lifestyle Commitment.
As a prospective employee at this school, I have read, understand, and agree to the Christian Lifestyle Commitment*

YesNo

Applicant's Certification and Release
I certify that the information contained in this application and any attachment is true and correct to the best of my knowledge. I understand that any misrepresentation or material omission may result in my failure to receive an offer of employment or, if I am hired, in my dismissal.*

YesNo
I understand that all offers of employment are conditioned on my providing satisfactory proof of my identity and legal authority to work in the United States.*

YesNo
Please upload your resume. *

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Please upload your cover letter. *

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Please upload your nurse license*

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Final Review

Use the back button if you would like to review your answers before submitting your application. When your answers are complete, click Submit.
Should be Empty:

Personal Data

Education

Work Experience

Spiritual Background

References

Statement of Faith

Christian Lifestyle Commitment

Applicant's Certification and Release

Final Review