Harvest Child Care Ministries is always seeking dedicated individuals to add to our staff.
For consideration, print and fill out the online application and mail it to:
Application for Employment | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Harvest is an equal opportunity employer, dedicated to non-discrimination on any basis including race, color, age, sex, religion, or national origin.
PERSONAL INFORMATION: Full Name: ___________________________________________ SS#:_________________________ Address: _________________________________________________________________________ Phone: __________________________________ Message No.: ______________________________ Previous Names:___________________________________________________________________ EMPLOYMENT DESIRED: Position: ___________________________________________ Date You Can Start: _______________ Minimum Salary Range You Will Accept: _________________________________________________ Are You Able to Work a "Live-In" Position, such as 5 days on/5 off? ______ Yes ______ No EDUCATION:
Do you hold any professional licenses or certifications? _________________________________________ ________________________________________________________________________________ PHYSICAL RECORD: Do You Have Any Physical Condition Which May Limit Your Ability to Perform the Job Applied for? ________ Explain: __________________________________________________________________________ In Case of Emergency Notify: Name: _____________________________________________________ Address: ____________________________________________ Phone: ________________________ FORMER EMPLOYERS: List Below Your Last 4 Employers in Reverse Order
REFERENCES: List below 3 persons not related to you whom you have known at least one year and who are not former employers
Drivers' Violations ________________________________________________________________________ Have you ever been convicted of any criminal act?_______ If yes, Please explain _________________________________________________________________ ________________________________________________________________________________ Hobbies or Other Interests: ____________________________________________________________ ________________________________________________________________________________ I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.
Signature: _______________________________________________ Date: ____________________ II-3-F rev.07/12/94 |