Columbus Day News

HERITAGE CHRISTIAN SCHOOL Employment Application ALL INFORMATION MUST BE COMPLETED FOR CONSIDERATION AN EQUAL OPPORTUNITY EMPLOYER Heritage Christian School does not discriminate against any applicant for emp loyment because of race, color, national origin, ancestry, age, sex, marital status, disability, or any other legally protected characteristic or activity. INSTRUCTIONS: Please complete ALL sections of this application and attach any additional information that you feel may be helpful in evaluating your qualifications. You may attach a resume, but please be sure to complete all items on the application as completely as possible. If a particular question does not apply to you, please indicate this by writing “NA” in the appropriate space. An incomplete application will not be considered. Position Desired: __________________________________ Date Available: __________________ PERSONAL INFORMATION Name: ____________________________________________________________________________________________________________ Last First Middle Initial Address: __________________________________________________________________________________________________________ Street City State Zip Phone: (____)__________________________ Cell Phone: (____)__________________________ E-mail Address: __________________________________________________________ Are you a U.S. Citizen or do you have a legal right to work in the U.S.? Yes No Have you ever been convicted of a crime? Yes No If yes, please explain: ______________________________________________________________________________________ EDUCATION Name of School City, State Dates Attended Diploma/Degree Received High School: ____________________________________________________________________________________________________ College: ________________________________________________________________________________________________________ Other: __________________________________________________________________________________________________________ EMPLOYMENT HISTORY List ALL employers, beginning with your current or most recent employer. Include summer and part-time jobs. Please explain any gaps in employment. You may attach additional sheets if necessary. Name of Employer: ______________________________________________________________________________________________ Address: __________________________________________________________________________________________________________ Phone: (____)__________________________ Supervisor: ____________________________________________________________ Dates Employed: From: _____________________ To: _____________________ Starting Salary: ______________ Ending Salary: ______________ Job Title: ________________________________________________________________ Description of duties: __________________________________________________________________________________________ Reason for Leaving: ____________________________________________________________________________________________ Name of Employer: ______________________________________________________________________________________________ Address: __________________________________________________________________________________________________________ Phone: (____)__________________________ Supervisor: ____________________________________________________________ Dates Employed: From: _____________________ To: _____________________ Starting Salary: ______________ Ending Salary: ______________ Job Title: ________________________________________________________________ Description of duties: __________________________________________________________________________________________ Reason for Leaving: ____________________________________________________________________________________________ Name of Employer: ______________________________________________________________________________________________ Address: __________________________________________________________________________________________________________ Phone: (____)__________________________ Supervisor: ____________________________________________________________ Dates Employed: From: _____________________ To: _____________________ Starting Salary: ______________ Ending Salary: ______________ Job Title: ________________________________________________________________ Description of duties: __________________________________________________________________________________________ Reason for Leaving: ____________________________________________________________________________________________ REFERENCES List three references who are not related to you and who have knowledge of your qualifications for the position for which you are applying. Name Address Phone Number Occupation __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ PROFESSIONAL SKILLS Please list any professional skills you possess that are relevant to the position for which you are applying (e.g., computer skills, language proficiency, etc.): __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ HOBBIES & INTERESTS Please list any hobbies or interests you enjoy: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ FAITH STATEMENT (Required of all potential Heritage Christian School employees) Briefly describe your personal faith in Jesus Christ: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ DENOMINATIONAL PREFERENCE __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ CHURCH AFFILIATION Name of Church: ________________________________________________________________________________________________ City: __________________________________________________________________________________________________________ How long have you attended this church? __________________________________________________________________________ Are you an active member? Yes No May we contact your pastor? Yes No Pastor’s Name: __________________________________________________________ Phone: (____)__________________________ APPLICANT’S STATEMENT I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any misrepresentation or omission of facts may be cause for rejection of this application or termination of employment, if hired. I authorize Heritage Christian School to investigate all statements contained in this application and to contact my previous employers, references, and pastor for information concerning my qualifications and character. I understand that if I am hired, my employment will be “at will,” meaning that either Heritage Christian School or I may terminate the employment relationship at any time, with or without cause or notice. I have read and understand the above statements. Signature: __________________________________________________________ Date: __________________________