Application for Employment

Applications are received and employees are hired without regard to race, creed, color, sex, religion, age, national origin, marital status, disability, veteran's status and citizenship status. The receipt of this application does not mean job openings exist and does not obligate us in any way.

We appreciate your interest in our organization. All applicants agree to subject to drug testing at any time before or after employment and that they are in sufficient physical and mental health to perform the requirements of this position, to include but not limited to: lifting, carrying, sitting, standing, and word processing as necessary to perform the day to day duties of the center.

Your name *

Email address *

Phone number *

Birthdate *

Are you eligible to work in the United States? *

Have you ever been convicted of a crime (other than a minor traffic violation)? *

Education Information

What is the highest level of education completed? *

Check all that apply.

Provide school and degree information, qualifications attained, and year of completion:

(ex. CPR Certified, 2025; Memorial Highschool Diploma, 2021; UCO Bachelors Degree Early Education, 2024, etc.)

Years of work & formal training in Early Childhood Education - list all that apply:

Employment Information

Have you ever worked for First Christian Church Child Care Center before? *

Type of employment desired: *

Full-time

Part-time

Date available to begin work: *

Days of the Week and Hours you are available to work: *

The Child Care Center is open 6:45 AM to 6:00 PM, Monday-Friday. Indicate your days and hours of availability.

Prior Work History - Most Recent Job

Most Recent Employer Information:

What is the name, phone number and location of your most recent employer and supervisor?

Start Date of most recent job:

Are you still employed at this job?

Your position, title and duties of most recent job:

Include your position and title along with all duties assigned to you.

Pay rate ($) of most recent job:

May we contact your employer?

Yes

Prior Work History - Previous Employer

Previous Employer Information:

What was the name, phone number and address of previous employer? What was the name of your immediate supervisor?

Start Date of previous job:

End Date of previous job:

Your position, title and duties of previous job:

Include your position and title along with all duties assigned to you.

Pay rate ($) of previous job:

May we contact your previous employer?

Yes

Professional References

No personal references - no relatives or family members.

Reference #1: *

Provide Name, Contact Number and Years Known.

Reference #2: *

Provide Name, Contact Number and Years Known.

Reference #3: *

Provide Name, Contact Number and Years Known.

Electronic Signature: *

PLEASE READ:
The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on my application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation on my personal history and financial and credit record through any investigative or credit agencies or bureaus of your choice. I understand that employment at this organization is "at will" and includes not guarantee, contract, or promise of employment for any specified length of time. I authorize the use of any information in this application and any attached supplements to verify my statement, and I authorize the past employees, doctors, all references, and any other person to answer all questions asked concerning my ability, character, reputation, and previous employment records. I release all such persons from any liability or damages on account of having furnished such information.
AND SIGN BELOW:
By entering your name below, you are agreeing that this will count as a valid signature on this document.

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