Gardendale Nazarene Ministries
Gardendale Nazarene Daycare & Gardendale Christian Academy
Personal Information
Full Name
*
First Name
Middle Name
Last Name
Birth Date
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January
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Day
Please select a year
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Year
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
If you are hired, can you submit proof of US Citizenship (birth certificate, US passport, etc.)?
*
Yes
No
Position Desired:
Teacher
Assistant Teacher
Kitchen Personnel
Custodian
Reception Desk
Summer Care Helper
If you selected teacher, do you have a desired age level?
6-weeks to 18-months
18-months through two-year-olds
Three-year-olds
Four-year-olds
Kindergarten
Elementary
Full Time or Part Time
*
Please Select
Full Time
Part Time
Available Start Date
/
Month
/
Day
Year
Home Life
If you have children in your home, what are their ages?
If there are pre-school children in your home, do you have care for them while you work?
*
Please Select
Yes
No
Not Applicable
If there are school-age children in your home, is there someone who will be responsible for them if they are out of school or sick?
*
Please Select
Yes
No
Not Applicable
Could you work early-evening hours (through 6 p.m.), if special needs require this?
*
Please Select
Yes
No
Not sure
Do you drive?
*
Please Select
Yes
No
Do you have a current driver's license?
*
Please Select
Yes
No
Do you have your own transportation?
*
Please Select
Yes
No
If you mark 'no' on the above question, do you have transportation to get to work?
Please Select
Yes
No
Experience
What experience do you have working with groups of children or youth? (Sunday School, baby-sitting, etc.) Please describe.
Do you play a musical instrument?
Please Select
Yes
No
If so, which one(s)?
Do you have any other special talents you would like to share with us? (art, discussion leader, sports)
Do you have any other interests or hobbies?
Spiritual Life
Do you attend church regularly?
*
Please Select
Yes
No
What church do you attend regularly?
*
Briefly tell us about your faith in Jesus Christ.
*
Education and Training
Have you graduated high school?
*
Please Select
Yes
No
If you are not a graduate, have you earned your General Education Diploma (GED)?
Please Select
Yes
No
Not Applicable
Have you attended college?
Please Select
Yes
No
Not Applicable
If you attended college, did you complete your degree?
Please Select
Yes
No
Not Applicable
If you attended college, what was your undergraduate major?
Are you a member of any college honor societies or other honors?
Have you taken any other verifiable training courses or workshops?
Employment History
Please tell us a little about your previous employment.
Place of Employment
Dates
Position/Duties
Reason for Leaving
Place of Employment
Dates
Position/Duties
Reason for Leaving
Place of Employment
Dates
Position/Duties
Reason for Leaving
Place of Employment
Dates
Position/Duties
Reason for Leaving
Place of Employment
Dates
Position/Duties
Reason for Leaving
Have you ever been discharged or forced to resign from any position?
Please Select
Yes
No
If yes, please explain
References
Do not use relatives. Include at least one past employer and/or teacher. #3 MUST be your pastor. You must supply addresses and telephone numbers.
Reference #1
Friend, previous employer, or teacher
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business/Position
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Reference #2
Friend, previous employer, or teacher
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business/Position
Pastor's Reference
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Signatures
I certify that the statements made by me in this application are true, complete and correct to the best of my knowledge and belief and are made in good faith.
I authorize a representative of Gardendale Nazarene Daycare and/or Gardendale Christian Academy as a prospective employer to inquire as to my record of any person(s) and my former employer(s). In the event I should terminate my employment, I agree to file my resignation two (2) weeks prior to the date effective.
If I was to be hired at Gardendale Nazarene Daycare and/or Gardendale Christian Academy, I understand this is a facility with children and the protection of children is a top priority. I acknowledge and consent to a background check being preformed as a part of my employment.
Please verify that you are human
*
Apply
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