Siloam Springs Kids Day Out Employment Application

Date

PERSONAL INFORMATION

Please answer this application as complete as possible. Additional information may be requested.

Name

SSN#

Address

This address will receive a confirmation email

Phone

Length of Time at Above Address

Position Desired

Date Available to Work

Days Available to Work

Monday Tuesday Wednesday Thursday Friday

If Available on Mondays, What hours can you work?

If Available on Tuesdays, What hours can you work?

If Available on Wednesdays, What hours can you work?

If Available on Thursdays, What hours can you work?

If Available on Fridays, What hours can you work?

If Hired, What Rate of Pay Do You Expect?

Are you legally eligible to work in the United States?

YES NO

Are you over the age of 18?

YES NO

Have you ever applied or worked for Siloam Springs Kids Day Out or Bridge Church?

YES NO

Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor traffic violations), including convictions based on a plea of guilty or no contest?

YES NO

If you answered yes to the question above, please explain, including the nature of the offense, date, court location, and other information that would be helpful to us in considering your application.

EDUCATIONAL BACKGROUND

Name of High School

High School Diploma

YES NO GED Currently Enrolled

Relevant Courses:

College or Technical School

YES NO Currently Enrolled

Name of College or Technical School

Degree?

YES NO

Degree or Certification(s) Obtained

Year Obtained

Relevant Coursework:

If other training, Please explain

Employment History

Most Recent Employer. Please note that you may be asked to provide additional employment history.

Employment Date

Employer

Employer Address

Employer Phone

Supervisor

Job Title

Describe your responsibilities

Reason for leaving

May we contact the above employer

YES NO

Please list any additional training or skills that qualify you for the position to which you are applying.

Church Activity

Siloam Springs Kids Day Out is a ministry of The Bridge. Please list the churches that you have attended or volunteered at the past five years.

If currently looking for a church to attend and/or serve (Check Here) Yes

Church Name

Address or Location

Church phone

Date started

Date left

Church Name

Address or Location

Church Phone

Date started

Date left

References

Please list three references (not related to you) that we may contact

Reference 1 Name

Address

Phone

Years Known?

Relationship

Reference 2 Name

Address

Phone

Years Known?

Relationship

Reference 3 Name

Address

Phone

Years Known?

Relationship

ADDITIONAL APPLICATION INFORMATION

Please provide any other information that you feel will help us in considering your application for employment.

Additional Information

STATEMENTS AND RELEASES

The Bridge Church, dba Siloam Springs Kids Day Out does not discriminate against job applicants or employees on the basis of race, color, national origin, gender, disability, age, or veteran status.

Employment with The Bridge Church, dba Siloam Springs Kids Day Out is "at will" and not by contract either express or implied. This means that if you become employed at The Bridge Church, dba Siloam Springs Kids Day Out, both you and the church are free to terminate the employment relationship at any time and for any legal reason.

By submitting this job application, I certify that all the information I have provided is true and accurate to the best of my knowledge, and understand that misleading or false statements on this application may lead to a decision not to hire me or, if hired, to terminate my employment.

I hereby give The Bridge Church, dba Siloam Springs Kids Day Out, permission to contact my previous or current employers (unless noted otherwise), references, schools, and others concerning the statements in this application, and I hereby release all parties involved from any liability as a result of such contact.

I understand that if offered a position with The Bridge Church, dba Siloam Springs Kids Day Out, I may be required to submit to a pre-employment medical examination, drug screening, and/or criminal background check as a condition of employment. I understand that unsatisfactory results from, refusal from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests will result in withdrawal of an employment offer or, if already employed, termination of employment.

Thank you for your interest in being part of the Siloam Springs Kids Day Out team. By pushing the submit button below, I acknowledge that I have read, understood, and agree to the above statements.

Siloam Springs Kids Day Out Employment Application

Description

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