APPLICATION FOR EMPLOYMENT – WEE CARE DAY SCHOOL
MINISTRY OF FIRST FREE WILL BAPTIST CHURCH (704) 866-0611
2316 UNION ROAD, GASTONIA, NORTH CAROLINA 28054
Please type or legibly print all information
Position sought______
Name______full or part-time _____hours available to work______
Address______Date of Birth ______
Phone # ______NC Drivers license # ______SSN ______
In case of Emergency Notify_______Relationship______
Phone # (work)______(home)______Address______
With what age children do you prefer to work? ______Second choice? ______
Are you willing to work with other ages? ______Are you available for substitute work? ______
Name/address Church you attend______
Minister’s name ______Are you a member? ____ How long attended? ______
EDUCATION (Name/City/State) - Number of Years & Date Completed) – DEGREE
High School______
College/Trade______
Major/Chief Subject in College: ______GED (date completed)______
Other Schooling/Special Training Courses/Seminars______
______
______
What experience do you have working with children? (i.e. Sunday school, VBS, Volunteer etc. Ages?)
______
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In your opinion, what makes a good child care program? ______
______
______
What makes a good child care teacher? ______
______
What activities are your strengths in working with children? (i.e. art, music, etc.)______
If you have young children, what childcare plans will you have, if employed? ______
Have you ever pled guilty to or been convicted of any offense against the law other than a minor traffic violation? ___Yes ___No. If yes, explain fully on an additional sheet. (The offense and how recently you were convicted will be evaluated in relation to the job for which you are applying.)
APPLICATION FOR EMPLOYMENT – WEE CARE DAY SCHOOL
MINISTRY OF FIRST FREE WILL BAPTIST CHURCH (704) 866-0611
2316 UNION ROAD, GASTONIA, NORTH CAROLINA 28054
WORK EXPERIENCE (Last 3 jobs held)
Current or Last Employer______Address______
Job Title______Duties______
Supervisor’s Name______Phone # ______Salary when left ______
Date (mo/yr) hired______Date (mo/yr) left______Reason for leaving______
Prior Employer______Address ______
Job Title______Duties______
Supervisor’s Name ______Phone # ______Salary when left______
Date (mo/yr) hired ______Date (mo/yr) ______Reason for leaving ______
Prior Employer______Address______
Job Title______Duties______
Supervisor’s Name ______Phone # ______Salary when left______
Date (mo/yr) hired ______Date (mo/yr) ______Reason for leaving ______
PERSONAL REFERENCES: List 2 references, not including relatives or former employers:
Name______Address______Phone # ______
Name______Address______Phone # ______
HEALTH
Describe your general health condition______
Describe any physical or personal limitations you have that might affect working with young children in play activities or the amount of time you can spend at work. ______
______
Briefly describe any Previous Serious Illnesses or Injuries. When? ______
______
Date of last Physical Exam ______Name/Address of Primary Doctor ______
For the purposes of potential employment, I, the undersigned applicant, authorize a representative of First Free Will Baptist Church of Gastonia, to inquire and obtain records and other documentation concerning my education and my employment from current or former employers. Should I be hired, I understand that FFWB, Gastonia may obtain my driving record from NC-DMV (or other states) and any criminal record I may have from any County/State. If hired, I understand that employment with FFWB is probationary for the first three months, and that I may be terminated for any reason at any time. I agree to adhere to all Rules and Regulations governing my employment.
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Signature Date
1
Glorifying God through Christian Education and Care Since 1999!