In God We Trust

--In God We Trust

Applicant’s Name: ____________

Address: ______

City, State, Zip Code: ______

Telephone Number: ______Are you a U.S. Citizen? ______

Social Security #: ______Driver’s License #:______

Are you a Christian? ______If yes, have you been baptized by immersion? ______If so, when? ______

Are you an active member of an Evangelical church? ______Which church? ______

Emergency Contact: ______Phone: ______

Are you over 16? ______Are you over 18? ______Do you have reliable transportation? ______

Have you ever been convicted of a crime? ______If yes, please explain: ______

______.

Is there anything to prevent you from satisfactorily performing the job for which you have applied? Please explain.

______

Position Applying For: ______

Hours Available:

Monday / Tuesday / Wednesday / Thursday / Friday

Please see the other side.

Employment History:

Employer’s Name/Phone Number / Duties: / Dates of Employment: Salary:

Education:

High School/Location / Highest grade completed: / Major: Grade Average:
College/Location / Highest grade completed? / Major: Grade Average:
Business/Trade/Technical School / Highest grade completed? / Special Training: Grade Average:

PERSONAL REFERENCES:

Name: ______Telephone Number: ______

I hereby certify that the information on this application is true and accurate to the best of my knowledge. I understand that falsifying any information on this application could result in termination. If employed at Amerikids® Christian Center, I authorize its representatives to contact all former/current employers in order to do a thorough background investigation, and to further inquire as to any other information given by me on this application. I understand that I would be subject to random drug testings during my employment. If employed at Amerikids® Christian Center, I agree to follow all school rules, policies and procedures. I understand that this application in no way constitutes a contract of employment, and that my employment may be terminated by myself or the school at any time. Employment is at will. I also understand that if employed, Amerikids® Christian Center director will maintain a personnel file on me.

Applicant’s Signature: ______

Date: ______