Gardendale Nazarene Ministries Job Application

Gardendale Nazarene Ministries

Gardendale Nazarene Daycare & Gardendale Christian Academy
Personal Information
Full Name*

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / 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.)?*

YesNo
Position Desired:

TeacherAssistant TeacherKitchen PersonnelCustodianReception DeskSummer Care Helper
If you selected teacher, do you have a desired age level?

6-weeks to 18-months18-months through two-year-oldsThree-year-oldsFour-year-oldsKindergartenElementary
Full Time or Part Time*
Available Start Date

MonthDayYear
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?*
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?*
Could you work early-evening hours (through 6 p.m.), if special needs require this? *
Do you drive?*
Do you have a current driver's license?*
Do you have your own transportation?*
If you mark 'no' on the above question, do you have transportation to get to work?
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?
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? *
What church do you attend regularly? *
Briefly tell us about your faith in Jesus Christ.*
Education and Training
Have you graduated high school?*
If you are not a graduate, have you earned your General Education Diploma (GED)?
Have you attended college?
If you attended college, did you complete your degree?
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?
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 NameLast Name
Address

Street Address

Street Address Line 2

CityState / 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 NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business/Position
Pastor's Reference
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / 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*
Should be Empty:

Gardendale Nazarene Ministries

Personal Information

Home Life

Experience

Spiritual Life

Education and Training

Employment History

References

Reference #1

Reference #2

Pastor's Reference

Signatures