CCS STAFF APPLICATION

POSITION AND AVAILABILITY
What position are you seeking at CCS?
What type of position?

Full-timePart-time
Date you would be available:

MonthDayYear
Date
Anticipated length of employment at CCS:

1 year2 yearsIndefinitely

BACKGROUND
Please provide the following information concerning your church attendance over the past five years:
Current Church:
Pastor's Name:
Address:
Dates Attended:
Phone:
Previous Church:
Pastor's Name:
Dates Attended:
Address:
Phone:
Please enter a valid phone number.
Previous Church:
Pastor's Name:
Dates Attended:
Address:
Phone Number
Please enter a valid phone number.
Are you a United States citizen or alien legally authorized to work in the United States?

YesNo
Have you ever been convicted of, or pled guilty or no contest to a crime other than a minor traffic violation, or are you now under charges for any criminal offense? A criminal conviction will not necessarily disqualify you from consideration for employment.

YesNo
If yes, please explain:

List each county and state of residence for the past 5 years:

	Name of County	# of residential addresses within each county	State	Date (year or years)
County 1
County 2
County 3
County 4
County 5

EMPLOYMENT HISTORY
List your past 3 employers beginning with your most current:
Current or Last Employer
Address, City, State, Zip
Position
Supervisor or Contact Person for Reference
Phone (with area code)
Start Date (MM/YYYY)
End Day (MM/YYYY)
Start Salary
End Salary
Reason for leaving
Please describe your duties
Previous Employer
Address, City, State, Zip
Position
Supervisor or Contact Person for Reference
Phone (with area code)
Please enter a valid phone number.
Start Date (MM/YYYY)
End Date (MM/YYYY)
Start Salary
End Salary
Reason for leaving
Please describe your duties
Previous Employer
Address, City, State, Zip
Position
Supervisor or Contact Person for Reference
Phone Number
Please enter a valid phone number.
Start Date (MM/YYYY)
End Date (MM/YYYY)
Start Salary
End Salary
Reason for leaving
Please describe your duties

TRAINING, EXPERIENCE, ABILITIES, INTERESTS
Have you served in the Armed Forces?

YesNo
What branch?
Years of military service
Date of discharge

MonthDayYear
Date
Rank at discharge
Type of discharge
Please explain the nature of your military training and responsibilities
List any additional training or experience you have had that qualifies you for the position you are seeking:

PERSONAL REFERENCES
List below two personal references who are well acquainted with you. Do not list relatives.
Personal Reference
Address

Address

Street Address Line 2

City, State, ZipState / Province

Postal / Zip Code
Phone (with area code)
Personal Reference
Address

Address

Street Address Line 2

City, State, ZipState / Province

Postal / Zip Code
Phone (with area code)

ADDITIONAL INFORMATION
Please use the space provided below to summarize any additional information that might be necessary to describe your full qualifications for the specific position for which you are applying. Also use this section to expand any statements made in other sections of this application form.

PERSONAL TESTIMONY
In the space provided below please give the testimony of your salvation.

PERSONAL STANDARDS OF SEPARATION
In the space provided below please give a detailed statement of your personal convictions, including your view on Biblical principles relevant to living a separated life.
Should my application be accepted, I agree to be bound by the Staff Agreement and policies of the school, and to refrain from any conduct in violation of the teachings of Calvary Baptist Church or Calvary Christian School. I understand and agree that nothing contained in this application for employment or in any pre-employment interview is intended to or shall create a contract between myself and the school or church for either employment or the providing of any benefit. I further understand that a criminal records check may be conducted on me, and I consent to such check.

I HAVE READ AND UNDERSTAND THE ABOVE PROVISIONS, AND AGREE TO THEM.
Signature of applicant (unsigned applications will not be considered)

Clear
Date

MonthDayYear
Date

EMPLOYEE SCREENING QUESTIONNAIRE

Calvary Christian School | King, NC 27021
Revised Jan 2024

Instructions: All Calvary Christian School employees and volunteers may at some time, out of necessity, be called on to supervise children (even secretaries and receptionists in a pinch Therefore, in the interest of taking every reasonable precaution as we approve those who will work with our children, every ministry employee and volunteer is to answer each item below. Please answer completely and honestly.
Full Name (print)
Date Questionnaire Completed & Submitted

MonthDayYear
Date

1. Other than institutions listed on the application, list any other formal training received from a Bible college.

	Date	Organization	Type of Program	Classes Taken	Phone
#1
#2
#3

2. Are you currently completing any educational training?
With what institution and pursuing what course of study?
3. If you are seeking employment at Calvary Christian School, please answer the following questions:
Why are you applying for this position, and why with our ministry in particular?
From your past experiences, education and training, do you believe that you understand the job requirements for the position you are applying for?
Do you believe that you can adequately perform the duties required by this position?
We require all employment applicants to have their transcripts sent to us from any post-high school institutions attended. Will you do this for us?
4. Have you been married before? If so, please elaborate.
5. What are your convictions about using alcohol? Do you now, or have you ever, used alcohol in any form?
6. What are your convictions regarding the use of pornography? Do you now, or have you ever, used pornography in any form?
7. Have you ever been advised to seek psychiatric help? If so, please elaborate.
8. Do you think you are a violent person?
9. Do you consider your temper to be a problem?
Have you lost your temper recently?
Do you ever swear?
Have you ever physically struck anyone in anger?
10. Have you ever been accused of any improper conduct toward a member of the opposite sex? If so, please explain.
11. Have you ever been accused of any improper conduct toward a member of the same sex? If so, please explain.
12. Have you ever been accused of any improper conduct toward a child? If so, please explain.
13. Do you feel that you were ever physically, sexually, or emotionally abused as a child?
14. Have you ever committed a crime, been charged with committing a crime, or convicted of committing a crime (regardless of age), including criminal traffic violations?
If yes, please explain.
15. Have you ever been investigated by any governmental agency for any form of abuse whatsoever?
16. Have you ever been accused of abuse of any kind by anyone?
17. Has anyone in your immediate family ever been investigated for child abuse or accused of abuse ofany kind? If so, please explain.
18. Has your driver's license ever been suspended? If so, please explain.
19. Have you at any time in the past been a childcare worker in any capacity?
20. Is there anything in your past or present that would prohibit you from effectively ministering to our students and staff?
If yes, please explain:
Applicant Verification and Release
I recognize that the organization to which this application is being submitted is relying on the accuracy of the information contained herein. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and accurate. I understand that intentionally answering any question falsely will be grounds for immediate termination.

I voluntarily release the organization and any such person or entity listed herein from liability involving the communication of information relating to my background or qualifications. I have carefully read the policies and procedures of the organization, and I agree to abide by them and to protect the health and safety of the children or youth at all times.
Printed Name
Signature

Clear
Date

MonthDayYear
Date

BACKGROUND CHECK AUTHORIZATION

Calvary Christian School | King, NC 27021
Name

First NameMiddle NameLast Name
Former name(s) and dates used:
Current Email Address
example@example.com

Addresses for the past 10 years:

	MM/YY	Street	City	Zip/State
Current Address Since
Previous Address From
Previous Address From

Social Security Number
Date of Birth

MonthDayYear
Date
Telephone Number
Drivers License Number
State Issued
The information contained in this application is correct to the best of my knowledge. I hereby authorize Calvary Christian School of King, NC, and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; credit reports, current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records.

I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Calvary Christian School of King, NC, or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources.

**Calvary Christian School of King, NC, and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicants personal information, including, but not limited to, addresses, social security numbers, and dates of birth.
Signature

Clear
Date

MonthDayYear
Date
California, Minnesota, and Oklahoma Residents:

Please check here if you wish to receive a copy of any Background Check Report on you that is requested.
Should be Empty:

	School	City, State	Start Date (MM/YY)	End Date (MM/YY)	Graduated	Not Graduated	Degree/Minor/Major
School 1
School 2
School 3
School 4

STAFF APPLICATION

PERSONAL

POSITION AND AVAILABILITY

BACKGROUND

EMPLOYMENT HISTORY

EDUCATION

TRAINING, EXPERIENCE, ABILITIES, INTERESTS

PERSONAL REFERENCES

ADDITIONAL INFORMATION

PERSONAL TESTIMONY

PERSONAL STANDARDS OF SEPARATION

EMPLOYEE SCREENING QUESTIONNAIRE

Applicant Verification and Release

BACKGROUND CHECK AUTHORIZATION