Application for Employment

An Equal Opportunity Employer
***Application for Employment***

Personal Information Position Applied For*
Name*
Address*
City*
State*
Zip Code*
Home Phone #*
Work Phone #
Date of Birth*
Email
Drivers License No.
Drivers License State
Are you a U.S. citizen?* Yes No
If not, do you have a work visa?* Yes No
Visa No.
Church Affiliation*
Church Member* Yes No
Church Address*

Educational Background

High School

Name of School*
Address of School*
Dates Attended From*
Dates Attended To*
Did You Graduate?* Yes No
Degree Received*
Area of Specialization*

College or University

Name of School
Address of School
Dates Attended From
Dates Attended To
Did You Graduate? Yes No
Degree Received
Area of Specialization

College or University

Name of School
Address of School
Dates Attended From
Dates Attended To
Did You Graduate? Yes No
Degree Received
Area of Specialization

Other

Name of School
Address of School
Dates Attended From
Dates Attended To
Did You Graduate? Yes No
Degree Received
Area of Specialization

Verification of Education will be required of all prospective employees.

Professional Registration, License of Accreditation

1.

State
Registration No.
Dates
Type

2.

State
Registration No.
Dates
Type

3.

State
Registration No.
Dates
Type

Questions 1. Describe how your personal philosophy relates to your interest in applying for a position at Rehoboth Christian School. What led you to apply for a position? What do you hope to contribute to the work of this institution? How does this fit with you career goals and interests?*

2. Cite any experience you have had in minority group situations.*

3. Have you ever lived or traveled in the Southwest?*

4. Please make a statement expressing your Christian faith.*

5. Please supply us with further information of comments that you consider important for your application.*

Work Experience

List present and past employment experiences, beginning with your most recent position.

1.

Employer's Name, Address, Phone #*
Dates*
Supervisor's Name*
Reason for Leaving*
Job Title and Responsibilities*
Do Not Contact?
Explain*

2.

Employer's Name, Address, Phone #
Dates
Supervisor's Name
Reason for Leaving
Job Title and Responsibilities
Do Not Contact?
Explain

3.

Employer's Name, Address, Phone #
Dates
Supervisor's Name
Reason for Leaving
Job Title and Responsibilities
Do Not Contact?
Explain

4.

Employer's Name, Address, Phone #
Dates
Supervisor's Name
Reason for Leaving
Job Title and Responsibilities
Do Not Contact?
Explain

Activities List memberships, activities, and positions of leadership in which you participate, or have participated, and other skills, which you possess, which may further qualify you for a position at Rehoboth Christian School.

Personal References

Give the names, addresses and phone numbers of three people who have known you for the past three years and can speak toward your personal character. Do not give names of former employers or relatives.

1.

Name*
Relationship to You*
Address*
Phone*

2.

Name*
Relationship to You*
Address*
Phone*

3.

Name*
Relationship to You*
Address*
Phone*

Applicant Certification and Agreement

I hereby certify that the statements made by me on the Application are true, complete and correct to the best of my knowledge. I grant Rehoboth Christian School permission to verify such answers (including a Criminal Record Check, Driving Record Check, verification of Employment Eligibility, Education Check, Health Status Verification, etc.) and understand that any misstatement or omission of fact on this Application, or on related employment materials, may be considered as sufficient cause for rejection of this Application, or for dismissal if such false statement is discovered subsequent to employment.

I further authorize Rehoboth Christian School to make inquiry concerning my aptitude, reputation and personal characteristics, including inquiry concerning my past employment. I release Rehoboth Christian School and all my previous employers, as well as their respective agents and employees, from any and all claims arising in any way from their participation in such an inquiry. I further waive any and all rights to receive notice concerning disclosures made as a part of such inquiry or investigation.

Signature of Applicant*
Date*