Application for Employment
It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications.
Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered.
*Applicants must be at least 18 years old and possess a high school diploma or GED*
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Personal Information
Full Legal Name: *
First, middle, and last name
Date of Birth: *
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Phone number *
Email *
Address *
Social Security Number: *
Emergency Contact Information
Name: *
Relationship: *
Address *
Phone Number: *
Employment Information
Which position(s) are you interested in? *
Required
Date available:
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Are you a citizen of the United States? *
If no, are you authorized to work in the U.S.?
Have you ever been convicted of a felony or misdemeanor (other than traffic violations)? *
Do we have permission to complete a background check? *
Education
High School
Name: *
Location: *
Did you receive a diploma or GED? *
College
Name of Institution:
Location:
Degree:
Other
Name:
Location:
Degree and/or Certification:
Skills & Qualifications
Current CPR training?
First Aid training?
Skills
Do you have any awards, certificates, or any other qualifications that you think are valuable for this job? If so, please describe:
Employment History
Company:
Job Title:
Supervisor:
Phone Number:
City, State:
Responsibilties:
Date started:
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Date finished:
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Reason for leaving:
May we contact your previous supervisor for a reference?
Company:
Job Title:
Supervisor:
Phone Number:
City, State:
Responsibilties:
Date started:
MM
/
DD
/
YYYY
Date finished:
MM
/
DD
/
YYYY
Reason for leaving:
May we contact your previous supervisor for a reference?
Company:
Job Title:
Supervisor:
Phone Number:
City, State:
Responsibilties:
Date started:
MM
/
DD
/
YYYY
Date finished:
MM
/
DD
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Reason for leaving:
May we contact your previous supervisor for a reference?
References
Please list three references who have first-hand knowledge of your character, personality, Christian-life training, and experience.
Full Name: *
Relationship: *
Phone Number: *
Full Name: *
Relationship: *
Phone Number: *
Full Name: *
Relationship: *
Phone Number: *
Spiritual Information
What church do you attend?
Denomination:
Pastor's Name:
Are you active in your church?
If yes, in what capacity?
Disclaimer and Signature

In submitting this application, I understand that an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, and/or criminal history. I authorize any persons with this information to furnish it to Holy Trinity Preschool upon request and I release anyone so authorized at Holy Trinity Preschool from liability and damages whatsoever in furnishing, obtaining, or using said information.

In the event of employment, I understand that false or misleading information given in my application or interview may result in immediate dismissal. I also understand that I am to abide by all rules and regulations of Holy Trinity Preschool.

I understand and agree that if employed, it is “at will.” I understand that either Holy Trinity Preschool or I may end the employment at any time for any reason or no reason at all. I understand that receipt of this application does not imply employment and that this application or any other company documents are not contracts of employment.


My digital signature certifies that my answers are true and complete to the best of my knowledge. 

Signature: *
Date: *
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