K4J Employment Form

Date

Full Name

This address will receive a confirmation email

Phone

Address

Social Security Number

Evangelical Covenant Church Beliefs

When new members join a Covenant Church, they are asked just two questions about their belief. As a potential member of a purposley Christian Day Care called Kids 4 Jesus, we also ask you:

Do you confess Jesus Christ as your Savior and promise to follow him as Lord?

Yes No

Do you accept the Holy Scriptures, both Old and New Testaments, as the word of God and the only perfect rule for faith, doctrine and conduct?

Yes No

We also ask you a question similar to what we ask of new members; if you are hired for a position with Kids 4 Jesus Child Development Center, do you intend to live as a faithful follower of Jesus and as a role model for our children and their parents? Please include your faith statement:

Kids 4 Jesus Child Development Center's Objectives

Kids 4 Jesus Child Development Center was created for the service of Jesus Christ and to meet the needs of His people, both child and adult, by providing a safe, stimulating, and enjoyable environment for the care of children where loving Christian values are practiced and taught. Kids 4 Jesus will establish a relationship with, and provide an effective means of communication to both the families of the children enrolled and the members of Community Covenant Church.

Can you share with us how you think you will be able to help Kids 4 Jesus meet this most important objective?

Personal Information

Are you 18 years old or over?

Yes No

If no, do you have a work permit? Yes No

Please list any former name you have used

Have you ever been convicted of a felony or a misdemeanor involving moral turpitude?

Yes No

If yes, please explain:

Can you, after employment, submit verification of your identity and legal right to work in the United States?

Yes No

If you are not a citizen, what is your Visa status?

Type of employment

Full time Part time Temporary

How did you learn about this position?

Have you ever been employed by Kids 4 Jesus before?

Yes No

Position applied for

Date available

Education

Please provide all educational information - including any high school or college/university information. Please provide the name/location of the school, dates attended, and if you received a degree

Highest grade completed

Do you have current First Aid training?

Yes No

Do you have current CPR training?

Yes No

Previous Employer Information

Please provide the name, business name, address, telephone, employed dates, name of supervisor and reason for leaving your previous employer

May we contact the employers listed?

Yes No

If no, please indicate which one(s) you do not wish contacted 1 2 3 4

References

Two references are required for employment - please provide as much information as you are able regarding your two references.

Please provide name, address, phone number, and your relationship

Training/Skills

Please list any qualifications or skills pertaining to the job that sets you apart from other applicants?

I believe all information provided in this application is correct and understand any false information may be considered cause for termination.

Date

Applicant's Signature

K4J Employment Form

Description

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