February 2018  
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Bible Search
Employee Application

We are currently hiring for a full time afternoon floater. Must be 18 years of age or older, be able to pass a background check, and previous experience in a child care center desired. 

 PLEASE COPY AND PASTE THIS INTO AN EMAIL AND RETURN TO salemlbowman@gmail.com

 EMPLOYMENT APPLICATION

Salem Little Saints Christian Child Care Center

 401 E. Military

Fremont, NE 68025

Phone: (402) 727-6300      Website: www.salemfremont.org

 

POSITION APPLIED FOR: ______________________________________      HOURS LOOKING FOR:  PART TIME     FULL TIME

Full Name:         _____________________________________________               Date:   _______________________

Address:           _____________________________________________  SSN#: _______________________

City:                 _____________________________________________  State: ________ Zip: ____________

 Phone:              ______________________________________________           Referred by: (newspaper, website, person)

Email:               _____________________________________________             ______________________________

 

Are you currently employed?                                                      Yes______        No______

May we contact your current employer?                                      Yes______        No______

Do you have the legal right to work in U.S?                                  Yes______        No______

Have you been convicted of a felony within the last 7 years?         Yes______        No______

If yes, Please describe:

________________________________________________________________________________________

 ________________________________________________________________________________________

 

I.                 EDUCATION:

 

High School:        __________________________________________________________________________

 Address:               __________________________________________________________________________

 Graduated             Yes_____     No_____      Degree and Subject: ____________________________________

_____________________________________________________________________________________________

 

Business/Trade: ____________________________________________________________________________

 Address:                __________________________________________________________________________

 Graduated, Certificate: Yes_____ No_____   Degree and Subject:_____________________________________

______________________________________________________________________________________________

 

College/University: __________________________________________________________________________

Address:                    _________________________________________________________________________

 Graduated:        Yes_____         No_____           Degree and Subject: ___________________________________

______________________________________________________________________________________________

 

College/University: ____________________________________________________________________________

 Address:             ________________________________________________________________

 Graduated         Yes____           No____             Degree and Subject: _____________________________________

 

II.                PREVIOUS EMPLOYMENT (please list most recent first. Fill out all sections to the best of your ability)

 

 Company:         _________________________________________________        From____________ To___________

                                                                                                                        (mm/yyyy)                   (mm/yyyy)

Title:                 _________________________________________________

 Address:           _________________________________________________        Phone: ________________________

 Duties:              _________________________________________________

                           _________________________________________________

 City:                 _________________________________________________        State ___________ Zip ___________

 Reason for leaving: ________________________________________________________________________________

 

 

 Company:         _________________________________________________        From____________ To___________

                                                                                                                        (mm/yyyy)                   (mm/yyyy)

Title:                 _________________________________________________

 Address:           _________________________________________________        Phone: ________________________

 Duties:              _________________________________________________

                        _________________________________________________

 City:                 _________________________________________________        State ___________ Zip ___________

 Reason for leaving: ________________________________________________________________________________

 

 Company:         _________________________________________________        From____________ To___________

                                                                                                                        (mm/yyyy)                 (mm/yyyy)

Title:                 _________________________________________________

 Address:           _________________________________________________        Phone: ________________________

 Duties:              _________________________________________________

                        _________________________________________________

City:                 _________________________________________________        State ___________ Zip ___________

 Reason for leaving: ________________________________________________________________________________

 

III: REFERENCES: Please list past supervisors (preferably), dotted line supervisors, or business colleagues who would be most familiar with your experience:

 Name:               _________________________________________________        Phone: ______________________

 Company:         _________________________________________________

 Position:           _________________________________________________   

 Address:           _________________________________________________   

 City:                 _________________________________________________

 Working Relationship:    __________________________________________

 Email:               _________________________________________________

 

 Name:               _________________________________________________        Phone: ______________________

Company:         _________________________________________________

 Position:           _________________________________________________   

 Address:           _________________________________________________   

 City:                 _________________________________________________

 Working Relationship:    __________________________________________

 Email:               _________________________________________________

 

 Name:               _________________________________________________        Phone: ______________________

Company:         _________________________________________________

 Position:           _________________________________________________   

 Address:           _________________________________________________   

 City:                 _________________________________________________

 Working Relationship:    __________________________________________

 Email:               _________________________________________________

 

IV.              JOB RELATED SKILLS

 Please list any additional job-related skills or qualifications:

_______________________________________________________________________________________________

 _______________________________________________________________________________________________

 _______________________________________________________________________________________________

 _______________________________________________________________________________________________

 

V.               SIGNATURE AND UNDERSTANDING OF AT-WILL EMPLOYMENT:

 

I certify that my answers are true and complete to the best of my knowledge.  I authorize you to make such investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision.  In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that if employed, I am required to adhere to all policies and procedures of Salem Little Saints Christian Child Care Center.

 I further understand that my employment and compensation is terminable at-will. There is no definite period and my employment and compensation may be terminated by the company (employer) at any time and for any reason whatsoever, with or without cause at the option of either the company or myself.

 _____________________________________________________ Date________________________________

Signature Applicant

 

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