Phone number *
Phone type Mobile Home Work Other
School Information
If you are currently a student or recent graduate, please provide school name, dates attended (from: mo/yr to: mo/yr), Graduated (yes or no) and Degree/major.
Date you will be available. *
Are you able to perform the essential functions of the position for which you are applying with or without reasonable accommodation? *
Have you ever been convicted of, or pled guilty or no contest to a crime other than a minor traffic violation, or are you now under charges for any criminal offense? *
Are you a United States citizen or alien legally authorized to work in the United States? *
List each place of residence for the past five years. *
Please provide the street address, city, state and the length of stay at that address (years/months)
Please list your current or most recent employer: *
Please provide the Company or Person's name, phone number, address and the name of your Supervisor or Contact person for reference.
Current or most recent job description: *
Please provide your title and duties with the employer listed above. Also, your start date, end date, salary and reason for leaving.
Please list your second most recent employer:
Please provide the Company or Person's name, phone number, address and the name of your Supervisor or Contact person for reference.
Second most recent job description:
Please provide your title and duties with the employer listed above. Also, your start date, end date, salary and reason for leaving.
REFERENCES *
List below two persons (with their email and phone number) who can speak to your caregiving skills and experience. Please do not list relatives.
Please select the highest level of Education completed: *
Select… Highschool College (1-3 years, no degree) Associates Degree College Degree College Masters Degree Other
TRAINING AND EXPERIENCE *
List any additional training or experience you have had that qualifies you for the position you are seeking, including any professional license or certification:
Notes and additional comments:
Please give an overview of your connection to/involvement with StoneBridge. Do you/ how long have you attended the church? Where have you served? *
Please describe why you are applying to be a part of the StoneBridge Childcare team. *
If you could be a scented marker, which color and scent would you be? Why? *
Please give a summary of your experience working with children. *
Please describe your weekly availability. *
Would you be willing to sign StoneBridge's Statement of Faith? *
APPLICANT'S STATEMENT *
In consideration of the receipt and evaluation of this application by the church, I agree and represent that: • The information contained in this application is correct to the best of my knowledge. I understand and agree that providing false or misleading information on this application is grounds for my immediate dismissal, if I am hired. • I authorize any references, schools, current or former employers, current or former supervisors, churches or denominational 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, denominational agency or official, reference, or any other person or organization, including record custodians, both collectively and individually, and whether or not identified 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, excepting only the communication of knowingly false information. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. A facsimile or photocopy of this authorization shall be as valid as the original. Should my application be accepted, I agree to be bound by the bylaws and policies of StoneBridge Marietta Church, and refrain from any conduct in violation of the church’s teaching. 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 StoneBridge Marietta Church for either employment or the providing of any benefit. I further understand that a criminal records check may be conducted on me, and I consent to any such check. Please check below whether or not you want to waive any right that you may have to inspect any information provided about you by any person or organization described above.
I have read and understand the above provisions, and agree to them. This is a legal document and I understand that I may consult with an attorney prior to signing it. *
By typing my name here I am consenting that this is equivalent to my written signature.
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