WG WWP Application

What position are you applying to?*

Name*

Address*

Address

Street Address Line 2

CityState

Zip

Phone*

Format: (000) 000-0000.

Email*

example@example.com

Date of Birth To help us correctly identify your possible account in our database and ensure we’re connecting to the right records, could you please provide your date of birth*

example@example.com

Have you ever been convicted of, pled guilty to, or pled no contest to a crime involving child abuse or neglect (a conviction will not automatically disqualify you from employment)?*

YesNo

As part of the hiring process, a criminal background check (18+) and completion of the Safe Haven are required. Do you agree to comply with these requirements. (A separate consent form to fill out will be sent via Protect My Ministry. These are re-run periodically*

YesNo

Have you had CPR and First Aid training within the last 2 years?*

YesNo

Upload your resume here: Include Education and Job History (include the last 10 years). *

Summarize your employment and volunteer history with children:Include ages of children, your duties, and dates.*

May we contact previous employers?*

YesNo

Please list 3 professional or personal references (not related to you). *

Rows	Name	Email	Phone
Reference 1
Reference 2
Reference 3

Explain why are you interested in applying for this position?*

What age group do you prefer?*

This position requires lifting, sitting on the floor, and transitioning between floor and standing positions. Are you able to perform these essential functions with or without reasonable accommodation?*

YesNo

What are your best qualities?*

Do you have any special talents or qualifications?*

Did someone refer you to us? If so, who?*

Do you currently attend church?

If yes, where?

Please summarize how you came to know Jesus Christ as your personal Savior:*

Additional notes:

No one who has evidence of abusing/neglecting/depriving children or adults or has intentionally or through gross negligent misconduct subjected any person to serious injury can work in our preschool.
No one who smokes or uses tobacco products can do so in child care areas in the preschool area or on the playground.
No one under the influence of controlled substances can be in the preschool area nor responsible for children.
I am capable of performing this job.

I certify that the information I have provided to Warren Church in this Application for Employment is true and complete to the best of my knowledge and I understand that, if hired by Warren, falsified statements or misrepresentations on this application shall be grounds for immediate dismissal.

I authorize investigation of all information, provided in this application and the references and employers listed, to give Warren all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release Warren from all liability for any damage that may result from utilization of such information.

All of Warren's campuses are drug and alcohol free.

Georgia is an "employment at will" state. All employees are employed at the will of the church for an indefinite length of time unless they have a written contract for a definite period of employment.

I understand that acceptance of this position requires me to agree with the ministry's statement of beliefs, and abide by the faith, practices, policies, and mission of Warren Church.

Signature of Applicant*

Date*

Date