Valley Forge Baptist Academy -Employment Application

Valley Forge Baptist Academy

Employment Application
Name*

First NameMiddle NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Applied for:
Are you a citizen of the United States?

YesNo
If not, are you authorized to work in the US?

YesNo
Have you ever worked for this company?

YesNo
If yes, when?
Have you ever been convicted of a felony?

YesNo
If yes, explain:

Education
High School Information
High School Name
High School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From Date

MonthDayYear
Date
To Date

MonthDayYear
Date
Did you graduate?

YesNo
Degree:
College Information
College Name
College Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From Date

MonthDayYear
Date
To Date

MonthDayYear
Date
Did you graduate?

YesNo
Degree:

References

Please list three professional references.
First Reference
Full Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Second Reference
Full Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Third Reference
Full Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Previous Employment
First Previous Employment
Company
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Supervisor Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Responsibilities
From Date

MonthDayYear
Date
To Date

MonthDayYear
Date
Reason for Leaving:
May we contact your previous supervisor for a reference?

YesNo
Second Previous Employment
Company
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Supervisor Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Responsibilities
From Date

MonthDayYear
Date
To Date

MonthDayYear
Date
Reason for Leaving:
May we contact your previous supervisor for a reference?

YesNo
Third Previous Employment
Company
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Supervisor Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Responsibilities
From Date

MonthDayYear
Date
To Date

MonthDayYear
Date
Reason for Leaving:
May we contact your previous supervisor for a reference?

YesNo

Personal Information

Please answer the following questions below:
Why would you like to work at Valley Forge Baptist Academy?
Please list and describe your experience working with children.
Please briefly share you testimony and how you came to know Christ as your Savior.
Please list any certifications that may apply. (Lifeguard, first aid, CPR, CDL driver's license, etc.)

Disclaimer and Signature
I certify that my answers are accurate anad complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview my result in my release.

I also understand that every employee is hired on a 30-60 trial period.
Signature*
Today's Date*

MonthDayYear
Date
Should be Empty: