Gardendale Nazarene Ministries
Equipping Hearts. Empowering Minds. Exalting Christ.
Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
*
example@example.com
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
If you are hired, can you submit proof of US Citizenship? (Birth Certificate, US Passport, etc.)
*
Desired Position:
Daycare Teacher
School Teacher
Custodian
Reception Desk
Summer Care
After School Care
If you selected Daycare Teacher, what is your desired age level?
6-weeks to 18-months
18-months to 2-years
3-years
4-years
Full Time or Part Time
*
Available Start Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
If you have children in your home, what are their ages?
Do you have care for your children while you are at work?
Do you have care for them if they are sick?
Could you work early-evening hours (through 6 P.M.)?
*
Do you drive?
*
Do you have a current driver's license?
*
What experience do you have working with groups of children or youth? (Sunday School, baby-sitting, etc.)
Do you have any interest of hobbies? (Art, sports, crafts)
Do you attend church regularly?
*
What church do you attend?
*
Briefly tell us about your faith in Jesus Christ,
*
Have you graduated high school?
If not, have you earned your GED?
Have you attended college?
Have you taken any other verifiable training courses or workshops?
Last Place of Employment / Dates worked/ Reason for leaving
*
Last Place of Employment / Dates worked/ Reason for leaving
Last Place of Employment / Dates worked/ Reason for leaving
Have you ever been discharged or forced to resign from any position?
*
Yes
No
If yes, explain.
Reference
*
Reference Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference
Reference Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Reference
Reference Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Pastor Reference
*
Reference Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
*
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.
Signature
*
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.
Signature
*
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
*
Emergency Contact
Name and Number
Continue
Continue
Should be Empty: