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APPLICANT INFORMATION |
Date | |
Last Name | |
First Name | |
Street Address | |
Apartment/Unit No. | |
City | |
State | |
ZIP Code | |
Telephone No. | |
E-mail Address | |
Date Available | |
Citizenship |
Yes, I am a citizen of the United States. |
No, I am NOT a citizen of the United States, but I am authorized to work in the U.S. |
I am NOT a citizen, and I am NOT authorized to work in the U.S. |
Criminial Background Check |
I am willing to submit to a Criminal Background Check. |
I am NOT willing to submit to a Criminal Background Check. |
Physical Exam |
I will submit to a physical examination. |
I will NOT submit to a physical examination. |
POSITION SEEKING | |
Full-time (7 a.m. - 4 p.m.) |
Classroom Floater (9 a.m. - 6 p.m.) |
Aftercare (3 - 6 p.m.) |
How did you hear about the position? | |
EDUCATION |
High School |
Name | |
Address | |
Dates Attended (To - From) | |
Year Graduated | |
Did NOT graduate. |
University/College |
Name | |
Address | |
Dates Attended (To - From) | |
Year Graduated | |
Type of Degree | |
Did NOT graduate. |
Other Education |
Name | |
Address | |
Dates Attended (To - From) | |
Year Graduated | |
Type of Degree | |
Did NOT graduate. |
CERTIFICATIONS, LICENSES, AND TRAINING (Show only if related to available position.) |
First Aid Certification |
Expiration Date | |
Received From | |
CPR Certification |
Expiration Date | |
Received From | |
Specific Training/Classes |
Name of Training/Classes | |
Taken where? | |
OTHER SKILLS, ABILITIES, EXPERIENCES |
Write a brief paragraph that includes other skills, abilities, and experiences that would be valuable/useful in your position here. (If you are interested in a teaching position, include a brief statement of your philosophy of Christian education.) |
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REFERENCES |
Please list three professional references, other than relatives. At least one of the references should be able to attest to your character, habits, and personal qualifications with the other references being able to attest to your work record and employment history. |
1. Full Name | |
Relationship | |
Company Name | |
Complete Address | |
Telephone No. | |
2. Full Name | |
Relationship | |
Company Name | |
Complete Address | |
Telephone No. | |
3. Full Name | |
Relationship | |
Company Name | |
Complete Address | |
Telephone No. | |
PREVIOUS EMPLOYMENT (List starting with your present/most recent position.) |
1. Company Name | |
Complete Address | |
Telephone No. | |
Supervisor | |
Job Title | |
Starting Salary | |
Ending Salary | |
Responsibilities | |
Date Employed | |
Last Date of Employment | |
Reason for Leaving | |
You may contact my previous supervisor for a reference. |
You may NOT contact my previous supervisor for a reference. |
2. Company Name | |
Complete Address | |
Telephone No. | |
Supervisor | |
Job Title | |
Starting Salary | |
Ending Salary | |
Responsibilities | |
Date Employed | |
Last Date of Employment | |
Reason for Leaving | |
You may contact my previous supervisor for a reference. |
You may NOT contact my previous supervisor for a reference. |
3. Company Name | |
Complete Address | |
Telephone No. | |
Supervisor | |
Job Title | |
Starting Salary | |
Ending Salary | |
Responsibilities | |
Date Employed | |
Last Date of Employment | |
Reason for Leaving | |
You may contact my previous supervisor for a reference. |
You may NOT contact my previous supervisor for a reference. |
RELIGIOUS PROFILE |
Church Affiliation | |
I attend church on a regular basis. |
I do NOT attend church on a regular basis. |
Please describe your personal relationship with Jesus Christ. |
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I understand a Christian's personal life and activity is a matter of personal commitment to Christ, and I also believe a staff member of a Christian school has a responsibility of Christian influence and example. I recognize that my Christian testimony is reflected through my teaching actions/work, and I will conduct myself so that others may see Jesus through my Christian commitment. |
I agree with the statement above. |
I disagree with the statement above. |
Briefly list your Christian teaching experience in the church. | |
List other church organizations in which you have participated. | |
RIVERSIDE CHURCH STATEMENT |
All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, age, disability, or veteran status. |
RIVERSIDE PRESCHOOL CODE OF CONDUCT |
"Let the little children come to me, and do not hinder them, for the Kingdom of God belongs to such as these." Mark 10:14b |
As an employee of Riverside Preschool, a ministry of Riverside Church that acknowledges, upholds, and reflects its standards and philosophies as a biblically based ministry, I will |
* maintain a Christian attitude and disposition with the children and the parents, |
* while under the guidance of the director, strive to make the preschool ministry a greater presence in our community, and |
* agree that the Bible is the written Word of God, that it is the absolute answer for all matters pertaining to our lives, and is our guide for living. I acknowledge the importance of conducting a lifestyle pleasing in the eyes of God and in keeping with principles of scripture. |
DISCLAIMER |
In submitting this application, I certify that my answers are true and complete to the best of my knowledge. |
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my immediate release. |
In submitting this application, I also verify that I have never been arrested, convicted, or under investigation for alleged sexual abuse or neglect of a minor. |
I am also aware that Riverside Preschool has the right to terminate my employment at any time without prior notice and without reason. |
Director | |
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