The Oak Tree Christian Academy - Employment Application

The Oak Tree Christian Academy - Employment Application
Choose site you are applying for:
Date of application

MonthDayYear
Date
Name

FIRST NAMEMIDDLE NAMELAST NAME
Current Address

MAILING ADDRESS

Street Address Line 2

CITY STATE ZIP CODEState / Province

Postal / Zip Code
Prior Address

PAST ADDRESS IF LESS THAN 5 YEARS

Street Address Line 2

CITY STATE ZIPCODEState / Province

Postal / Zip Code
Best contact number (include area code)

Area CodePhone Number
Driver's License number
Is your driver's license valid?
Email address
example@example.com
What position are you applying for?
Have you ever been employed by The Oak Tree Christian Academy in the past?
If yes, please list location, position held and time of employment.
How were you referred?

Other
What is your salary expectation for this position?
Are you legally authorized to work in the United States?
Will you now or in the future require sponsorship for employment visa status?
Have you ever been convicted of a felony or 1st degree misdemeanor?
If yes, what are the charges?
City & State
Date of conviction

MonthDayYear
Date
Have you ever pled Nolo Contendere or pled guilty to a crime which is a felony or 1st degree misdemeanor?
If yes, what were the charges?
City & State
Date of charge or Nolo Contendere

MonthDayYear
Date
Have you ever had the adjudication of guilt withheld for a crime, which is a felony or 1st degree misdemeanor?
If Yes, what charges
City & State
Date of adjudication

MonthDayYear
Date
( A criminal conviction will not necessarily disqualify you from consideration for employment.)
Have you ever held a Child Care License with the Department of Children and Families or been a registered to provide childcare in your home?
While employed in a childcare program, have you ever been subject to a disciplinary action or been partly responsible for a childcare facility receiving an administrative fine or other disciplinary action>
Have you worked at a childcare facility that has had their license denied, revoked or suspended in any state or jurisdiction?
If Yes, Please explain

Educational Background

Rows	Years Completed	Area of Study(Transcript maybe required)	Diploma/Degree(Yes/No)
High School
College
Business/Technical
Other

Church Affiliation

Rows	Name of Church	Year Attended	Contact Name	Contact Number
Name of Church
Name of Church
Name of Church

Certificates, Licensure, Registration

Rows	Type	Date of Issuance
Type
Type
Type

Employment History

List your last 4 jobs starting with the most recent.
May we contact your current employer?
Employer
Address

ADDRESS

Street Address Line 2

CITY STATE ZIPState / Province

Postal / Zip Code
Supervisor's name
Start Date

MonthDayYear
Date
Ending Date

MonthDayYear
Date
Starting pay
Ending Pay
Contact number including area code

Area CodePhone Number
Reason for leaving
Job Duties
Employer
Address

ADDRESS

Street Address Line 2

CITY STATE ZIPState / Province

Postal / Zip Code
Supervisor' name
Contact number including area code

Area CodePhone Number
Starting Date

MonthDayYear
Date
Ending Date

MonthDayYear
Date
Starting Pay
Ending Pay
Reason for leaving
Job Duties
Employer
Address

ADDRESS

Street Address Line 2

CITY STATE ZIPState / Province

Postal / Zip Code
Supervisor's name
Contact number including area code

Area CodePhone Number
Starting Date

MonthDayYear
Date
Ending Date

MonthDayYear
Date
Starting Pay
Ending Pay
Reason for Leaving
Job Duties
Employer
Address

ADDRESS

Street Address Line 2

CITY STATE ZIPState / Province

Postal / Zip Code
Supervisor's name
Contact number including area code

Area CodePhone Number
Start Date

MonthDayYear
Date
Ending Date

MonthDayYear
Date
Starting Pay
Ending Pay
REASON FOR LEAVING
Job duties
Training & Experience
List any additional training or experience you have had that qualifies you for the position you are seeking.
List all computer and software experience you have including years of knowledge
Reference

List 3 references not including family members

Rows	Name	Contact Number	Email address
Name
Name
Name

Upload Files (Resume, College Transcript, DCF Transcript)

Cancelof
APPLICANT STATEMENT---PLEASE READ CAREFULLY
I consideration of the receipt and evaluatoin of this application by The Oak Tree Christian Academy, I agree and represent that:

I certify that all information given by me on this application is correct, accurate and complete. I understand that falsification of any information on this application may be considered sufficient cause to cancel further consideration of this application or immediate discharge from the employer's service.

I authorize any reference, schools, current or former employers, current or former supervisors, churches or agencies, or any other person or organization, whether or not identified in this application, to give you any information (including opinions) regarding my character and fitness for employment. I hereby release any individual, employer, church, agency or offical, reference, or any other person or organization, including record custodians, both collectively and individually, and wheter or not indentified in this application, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs or family on account of compliance or any attempts to comply with this authorization, expecting only the communication of knowingly false information. I further state that I have carefully read the foregoing release, and knowing the contents thereof, I sign this release of my own free act. A facsimile or photocopy of this authorizatoin shall be as valid of the original.
I (choose one) any right that I may have to inspect any information provided by any person or organization described.
Should my application be accepted, I agree to be bound by the policies and procedures of The Oak Tree Christian Academy and to refrain from any conduct in violation of christian standard of living, christian teaching pricipals and organization standards.

I understand that The Oak Tree Christian Acdemy shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms or conditions of employment.

I understand that The Oak Tree Christian Academy is a faith-based organization that adhere to the faith tenants prescribe within the staff handbook.

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 Oak Tree Christian Academy for either employment or the providing of any benefit. I further understand that a criminal records check may be conducted on me, and consent to such check.

I understand that The Oak Tree Christian Academy is a Drug-Free, Smoke-Free and Weapon-Free workplace.

I understand that if I am hired, I am free to end the employment relationship at any time for any reason. However, The Oak Tree Christian Academy also reserves its right to terminate the employment relationship at any time, for any lawful reason. I further understand the cost of my onboarding will be deducted from my paycheck if I leave within my observation period.

I understand that If I am hired, I must be at least 18 years of age and will be required to provide proof of identity and leagal authority to work in the U.S.A.

I have read and understand the above provisions, and agree to them. This is a legal document, and I understand that I ahve the opportunity to consult with an attorney before signing it.
Applicant Signature
Date of signing

MonthDayYear
Date
VOLUNTARY SELF - IDENTIFICATION OF RACE/ETHNICITY

The following information is optional and will not negatively impact your application for employment.
Are you Hispanic or Latino?
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
If you answered "NO" please select one of the following categories that best describes your race:
VOLUNTARY SELF- IDENTIFICATION OF GENDER
Gender
VOLUNTARY SELF-IDENTIFICATION AS A PROTECTED VETERAN
If you believe you belong to any of the categories of protected veterans listed below, please indicate by checking the appropriate box(es) below.
Disable Veteran (I qualify as a disable veteran because I am: (a) A veteran of the U. S. Military, ground, Naval or Air Service who is entitled to compensation or who but for the receipt of military retired pay would be entitled to compensation under laws administered by the secretary of veterans affairs; or (b) A person who is discharged or released from active duty because of service-connected disability)
Discharge date

MonthDayYear
Date
Please choose one of the following below:
VOLUNTARY SELF-IDENTIFICATION OF DISABILITY
Why are you being asked to complete this form?

Completing this form is voluntary, but we hope your will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in anyway.

If you already work fo rus, your answer will nto be sued against you in anyway. Your may voluntarily self-identify as having a disability on this form with out fear of any punishment because you did not identify as having a disability earilier.

How do I know if I have a disability? You are considered to have a disability if you have a physcial or mental impairment or medical condidtion that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but not limited to:

Blindness

Autism

Bipolar disorder

Post-traumatic stress disorder (PTSD)

Deafness

Cerebal Palsy

Major Depression

Obsessive-Compulsive disorder

Cancer

HIV/AIDS

Multiple Sclerosis (MS)

Impairments requiring a wheelchair

Diabetes

Schizophrenia

Missing limbs or partially missing limbs

Intellectual disability

Epilepsy

Muscular Dystrophy
Please choose one below:
Name

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

The Oak Tree Christian Academy - Employment Application

Employment History

Training & Experience

Reference

APPLICANT STATEMENT---PLEASE READ CAREFULLY

VOLUNTARY SELF - IDENTIFICATION OF RACE/ETHNICITY

VOLUNTARY SELF- IDENTIFICATION OF GENDER

VOLUNTARY SELF-IDENTIFICATION AS A PROTECTED VETERAN

VOLUNTARY SELF-IDENTIFICATION OF DISABILITY