CityChurch - Evening Childcare Application
City Church is a religious organization that does not discriminate against applicants for employment on the basis of race, age, sex, national origin, disability, veteran’s status or marital status.  City Church discriminates on the basis of religion to the full extent permitted by law.
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Email *
Full Legal Name *
Address *
Phone number *
Are you legally eligible for employment in the United States? *
Date of birth *
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*Have you ever been the subject of a civil lawsuit involving or investigating sexual misconduct, sexual harassment or other immoral behavior or conduct involving adults or children?   (*Answering “yes” does not constitute an automatic rejection for employment.) *
*Do you have any cases/charges or company investigations/reviews pending right now? *
*If yes, please provide date and reason for lawsuit or arrest and disposition of the case (ie dismissed, plea bargain, probation, etc.)
Highest education level attained *
Previous Employment (include address/contact number/dates) *
Previous Employment 2 (include address/contact number/dates)
List two references (personal or work related, include contact email/number) *
Are you willing to undergo a Background Check? *
I understand and agree that if I am offered conditional employment with City Church, my appointment is for no definite period and may, regardless of the date or method of payment of my wages or salary, be terminated by either party at any time without previous notice or cause and is subject to change in wages, conditions, benefits and operating policies. *
I understand and agree that it is critical to the mission and ministry of City Church that all employees conform to the highest standards of safety, interpersonal conduct, and sexual morality.  I affirm that I will strictly comply with the policies and procedures of City Church including those concerning child safety and protection, sexual abuse and misconduct, and interpersonal relationships.  I understand and agree that failure by me to abide by such policies and procedures may result in my immediate dismissal.   *
I HAVE CAREFULLY READ, UNDERSTAND AND AGREE TO THE FOREGOING “APPLICANT STATEMENT” AND FURTHER UNDERSTAND AND AGREE THAT A COPY OF THIS APPLICATION SHALL BE AS VALID AS THE ORIGINAL. *
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