Fellowship NWA

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Employment Application

It is the policy of this company to provide equal employment opportunities to all qualified persons without regard to race, creed, color, sex, age, national origin, physical or mental handicap or veteran status.

Position

Rogers Kid's Time Classroom Leader

First Name

First Name is required.

Last Name

Last Name is required.

Date of Birth

/ / Date of Birth cannot be a future date.

Email address is not valid

Email is required.

Phone

Phone is required.

Address

Do you attend Fellowship Bible Church NWA?

Do you attend Fellowship Bible Church NWA? is required.

Do you have any relatives employed by Fellowship Bible Church NWA?

Yes No

Do you have any relatives employed by Fellowship Bible Church NWA? is required.

How did you hear about this position?

How did you hear about this position? is required.

What hours are you willing to work?

What hours are you willing to work? is required.

Are you available to work weekends?

Yes No

Are you available to work weekends? is required.

When would you be able to begin?

When would you be able to begin? is required.

What is your desired salary?

What is your desired salary? is required.

Do you have a current resume to share?

Yes No

Do you have a current resume to share? is required.

Employment History

Please provide employment history for up to three employers. If you do not have a previous employer please fill required fields with "N/A".

Employer 1

Company Name

Company Name is required.

Position

Position is required.

Dates Employed

Dates Employed is required.

Salary

Salary is required.

City and State

City and State is required.

Supervisor

Supervisor is required.

Contact

Yes No

Contact is required.

Leaving Reasons

Leaving Reasons is required.

Would you like to enter another employer?

Yes No

Would you like to enter another employer? is required.

Education History

Please provide education history for up to two institutions

Institution 1

School Name

School Name is required.

School Type

High School Business or Trade School College Professional School

School Type is required.

City

City is required.

State

State is required.

Degree Received

Degree Received is required.

Major

Major is required.

Years Completed

Years Completed is required.

Special Honors

Would you like to add another school?

Yes No

Would you like to add another school? is required.

References

Please provide two character and two professional references which we may contact in regards to your application. Please keep in mind that these contacts will receive an automatic reference request when the applicant progresses to a potential hire status in our selection process. Your references must be 18 years of age or older and cannot be a relative.

Character Reference 1

Reference Name

Reference Name is required.

Reference Email

Email address is not valid

Reference Email is required.

Reference Phone

Reference Phone is required.

Character Reference 2

Reference Name

Reference Name is required.

Reference Email

Email address is not valid

Reference Email is required.

Reference Phone

Reference Phone is required.

Professional Reference 1

Reference Name

Reference Name is required.

Company/Institution Name

Company/Institution Name is required.

Reference Email

Email address is not valid

Reference Email is required.

Reference Phone

Reference Phone is required.

Professional Reference 2

Reference Name

Reference Name is required.

Company/Institution Name

Company/Institution Name is required.

Reference Email

Email address is not valid

Reference Email is required.

Reference Phone

Reference Phone is required.

Describe your skills (computer and other):

Describe your skills (computer and other): is required.

Languages spoken (other than English)

By entering my initials below, I hereby certify that my answers and assertions set forth in this application are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby authorize this employer to investigate any aspect of my prior educational and employment history.

Furthermore, I understand that if I am hired, employment with this employer is “at will,” which means that either the employer or I can terminate my employment for any reason not prohibited by State or Federal Laws.

Applicant Initials

Applicant Initials is required.

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1051 W Pleasant Grove Rd Rogers, AR 72758-8052