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Employment Application
Application for Employment at Zion Lutheran Church & Preschool
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Email
*
Your email
APPLICANT INFORMATION
Full Name
*
Your answer
Address (Street, Apt./Unit #, City, State, Zip Code)
*
Your answer
Phone Number (Including Area Code)
*
Your answer
Date Available
*
MM
/
DD
/
YYYY
Position Appling For:
*
Preschool Secretary
Teacher's Assistant
Are you a citizen of the United States?
*
Yes
No
No - But authorized to work in the U.S.
Have you ever been convicted of a felony?
(If "Yes" please explain)
Please note, all employees are required to have a background check through the Family Safety Registry upon hire.
*
Your answer
EDUCATION
High School Attended
(School Name, Address, City, State)
Your answer
Year of Graduation
Your answer
Do you have a GED?
*
Yes
No
College Attended (School Name, Address, City, State)
Your answer
Degree Earned
Your answer
College Attended (School Name, Address, City, State)
Your answer
Degree Earned
Your answer
Other Educational Experiences
Your answer
References
Please list two professional and one personal reference.
Professional Reference (Full Name, Position, Company, Address)
*
Your answer
Professional Reference
(Full Name, Position, Company, Address)
*
Your answer
Personal Reference (Full Name, Relationship, Years of Acquaintance, Phone Number, Address)
*
Your answer
PREVIOUS EMPLOYMENT
Company Information (Name of Company, Address, Phone Number)
Your answer
Job Title and Dates of Employment
Your answer
Job Responsibilities
Your answer
Name and Title of Supervisor
Your answer
May we contact your previous supervisor for a reference?
Yes
No
N/A
Clear selection
Company Information (Name of Company, Address, Phone Number)
Your answer
Job Title and Dates of Employment
Your answer
Job Responsibilities
Your answer
Name and Title of Supervisor
Your answer
May we contact your previous supervisor for a reference?
Yes
No
N/A
Clear selection
Company Information (Name of Company, Address, Phone Number)
Your answer
Job Title and Dates of Employment
Your answer
Job Responsibilities
Your answer
Name and Title of Supervisor
Your answer
May we contact your previous supervisor for a reference?
Yes
No
N/A
Clear selection
MILITARY SERVICE
Miliary Branch and Dates of Service
Your answer
Rank at Discharge
Your answer
Type of Discharge
Your answer
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
I understand that I may be subject to a background check through the Family Safety Registry.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I understand that typing my name will serve as an electronic signature. (Please type full name below.)
*
Your answer
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