BCS Application For Employment
Each inquiry on this application must be fully answered or completed
Personal Data
Full Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Are you 18 years of age or older?
Yes
No
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you lived here?
Years, Months
Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long did you live there?
Years, Months
Position Desired
Available start date:
-
Month
-
Day
Year
Date
Placement Desired:
Full-Time
Part-Time
Temporary
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SPIRITUAL INFORMATION
Name of your current church:
Name of your pastor:
Church Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Phone:
Please enter a valid phone number.
How frequently do you attend?
Describe your ministry involvement:
Are you certain you have eternal life with God?
Yes
No
Please explain why you believe you have been called to our ministry. If applying for a position in our school ministry (Bethany Christian School), please include why you believe you have been called specially to facilitate the school’s mission of making disciples of our children.
Please share your salvation experience:
Do you affirm that you believe in the Rio Vista Church Statement of Belief (attached) and that if hired, you will not act or do anything contrary to these foundational truths?
Yes
No
If you are hired and assigned to a position in Bethany Christian School or otherwise engaged in teaching or counseling, do you affirm that you will not teach anything contrary to these foundational truths or counsel an individual in opposition to these foundational truths?
Yes
No
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CURRENT AND PREVIOUS EMPLOYMENT
Please list the names of your present and previous employers in chronological order with present or last employer listed first. Include part time and seasonal employment. If self-employed, give firm name and supply business references. If you were employed with a school, please indicate if it was a Christian school and if as a teacher, please indicate the grades/subjects taught. If you need more space, use empty comment box, DO NOT ANSWER “SEE RESUME.” Fill out this form completely.
EMPLOYER 1
EMPLOYER 1 ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dates Employed From
-
Month
-
Day
Year
From
Dates Employed To
-
Month
-
Day
Year
To
Ending Job Title
Supervisor
Work Performed
Were you ever disciplined? If so, for what?
Reason for Leaving
EMPLOYER 2
EMPLOYER 2 ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dates Employed From (2)
-
Month
-
Day
Year
From
Dates Employed To (2)
-
Month
-
Day
Year
To
Ending Job Title (2)
Supervisor (2)
Work Performed (2)
Employer 2 Work
Were you ever disciplined? If so, for what?
Reason for Leaving
EMPLOYER 3
EMPLOYER 3 ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dates Employed From (3)
-
Month
-
Day
Year
From
Dates Employed To (3)
-
Month
-
Day
Year
To
Ending Job Title (3)
Supervisor (3)
Work Performed (3)
Were you ever disciplined? If so, for what?
Reason for Leaving
Other
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Upload a File
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Choose a file
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BACKGROUND INFORMATION
Are you currently working?
Yes
No
If yes, name of Current Employer
How many days of scheduled work did you miss in the last 24 months, not including vacations, holidays and other approved leave?
Please explain fully any gaps in your employment history. Be sure to account for all periods of time including military service and any period of unemployment.
List any other names which you may have used and which will be necessary to verify prior to your employment:
If hired, can you provide proof that you're legally entitled to work in the U.S.?
Yes
No
If not, what steps must be taken for you to begin employment lawfully?
Have you ever been terminated, resigned in lieu of termination, been asked to resign from any job, or if applying for a position in our school, not been offered the opportunity to return the next academic year?
Yes
No
If yes, please explain circumstances:
If you are applying for a position with our school ministry, have you resigned from employment from a school mid-year or during an academic year?
Yes
No
If yes, please explain circumstances:
May we contact your current employer?
Yes
No
If no, please explain:
Have you ever applied here before?
Yes
No
Have you ever worked for Rio Vista Church (which includes Bethany) in the past?
Yes
No
If yes, please give dates, position and location:
Do you have any friends or relatives working for our organization?
Yes
No
If yes, name(s), relationship and location:
Do you have any commitments to any other employer which may affect your employment (for example, an employment agreement, a non-solicitation agreement, a non-competition agreement, etc.)?
Yes
No
If yes, explain:
Are you capable of satisfactorily performing the essential job duties required of the position for which you are applying, with or without reasonable accommodation?
Yes
No
Do you have adequate transportation to and from work?
Yes
No
How were you referred to us?
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EDUCATION & TRAINING
EDUCATION AND TRAINING
School Name & Address
Years Completed
Describe Course of Study or Major
Describe Specialized
Experience, Training, Skills,
and Extra-Curricular
Activities
High School
Secondary Education
Other
Other
OTHER INFORMATION - Please describe any other experience that you have which would be relevant to the job for which you are applying:
REFERENCES - Please list persons who know you well – not previous employers or relatives
NAME
OCCUPATION
ADDRESS
PHONE NUMBER
YEARS KNOWN
REFERENCE 1
REFERENCE 2
REFERENCE 3
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CRIMINAL HISTORY
NOTE: Answering “yes” to the following questions does not constitute an automatic bar to employment. The church will consider the nature of the crime, its seriousness, the substantial relation to the position’s functions and qualifications, the number of occurrences, the applicant’s age at the time of the crime, the time elapsed since the crime, the applicant’s entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.
Have you ever plead guilty or no contest to, or been convicted of any criminal offense?
Yes
No
If you answered “Yes” please provide in detail the nature and basis of each criminal charge that was the basis of the guilty or no contest plea or conviction, the status and type disposition of each, and all relevant date(s) so that individual circumstances can be considered.
Have you ever had an adjudication withheld?
Yes
No
If you answered “Yes,” please provide in detail the nature and basis of each criminal charge that was the basis of the adjudication, and all relevant dates so that individual circumstances can be considered.
Have you ever been arrested for any matters for which you currently are out on bail or on your own recognizance pending trial?
Yes
No
If you answered “Yes,” please provide in the nature and basis of each arrest, including the criminal charges against you, thestatus of each pending criminal matter, and all relevant date(s) so that individual circumstances can be considered.
Do you have any pending criminal charges against you?
Yes
No
If you answered “Yes,” please provide in the nature of each pending criminal charge and the current status of each, the date each charge(s) were filed against you and all relevant dates so that individual circumstances can be considered.
Have you ever been a defendant in a civil action for an intentional tort (i.e. a civil charge for assault, battery, intentional inflection of emotional distress, false imprisonment, wrongful death, etc.)? If “Yes,” please provide the nature of the tort and how the case resolved.
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DRIVING INFORMATION
(Complete only if driving is an essential function of the job for which you are applying. If so, any employment is contingent on an acceptable driving record that meets the standards of the church and its insurance carriers. If hired, your driving record will be checked periodically.)
Do you have a current valid driver’s license?
Yes
No
If yes, License No./ State/ Expiration Date
If you do not have a driver’s license for the state in which you currently reside, why not?
How many years have you been licensed to drive?
Has your license ever been suspended or revoked?
Yes
No
If yes, explain:
Do you have personal automobile insurance?
Yes
No
If no, explain:
Have you ever been denied personal automobile insurance or has it ever been terminated or suspended?
Yes
No
If yes, explain:
Have you even been convicted, pled guilty, or pled nolo to a charge or DWI or DUI?
Yes
No
Are any such charges currently pending against you? If yes, to either question, explain:
Please list all moving traffic violations in the last six (6) years:
OFFENSE
DATE
LOCATION
COMMENTS
1
2
3
4
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APPLICANT’S STATEMENT
PLEASE DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THESE STATEMENTS AND THE ATTACHED STATEMENT OF BELIEF OF THE CHURCH.
Statement of Belief
Signature
Date
-
Month
-
Day
Year
Date
Should be Empty: