Crossroads Daycare Application for Employment

Desired Position*

Full Time Teacher
Part Time Teacher
Room Assistant
Floater
Meal Prep

PERSONAL INFORMATION

Name*

First Last

Date of Birth*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Have you been convicted of a Felony or a misdemeanor?*

Yes
No

If yes, explain here

EDUCATION & TRAINING

High School*

Trade, Business, or Technical

College or University

Graduate or Professional

EMPLOYMENT

Do not substitute a resume for this section

Present Employer*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Position (s) held*

Starting Date*

Ending Date*

Starting Pay*

Ending Pay*

Supervisor/Manager name*

May we contact?*

Yes
No

Description of Primary Responsibilities*

Reason for Leaving*

Previous Employer*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Position (s) held*

Starting Date*

Ending Date*

Starting Pay*

Ending Pay*

Supervisor/Manager name*

May we contact?*

Yes
No

Description of Primary Responsibilities*

Reason for Leaving*

REFERENCES

We prefer that one reference be a present Crossroads Church Staff person or Lay Leader

First Reference Name*

First Last

Phone*

Email*

Length of Time Known*

Relationship to you*

Second Reference Name*

First Last

Phone*

Email*

Length of Time Known*

Relationship to you*

CHRISTIAN BACKGROUND

Are you a born-again follower of Christ?*

Yes
No

If yes, since when

If yes, briefly describe below how you came to Christ as your personal Savior

Do you attend Worship weekly?

Yes
No

Are you in a Life Group?

Yes
No

Have you attended Growth Track?

Yes
No

In what areas of the church ministry are you presently involved?

In what areas of the church ministry are you currently leading?

How would you describe your spiritual gifts, heart, abilities, personality, experience?

Is there any additional information of which you feel the church should be aware of, please explain below.

AGREEMENT*

I consent

By checking this box, I, hereby certify that the information contained on this Application for Employment is true and correct, and I have not omitted any facts, which I reasonably believe would reflect unfavorably on the Church’s decision to hire me. In addition, I hereby authorize the Church to contact any person or institution I have listed on this Application for Employment (unless indicated otherwise) and to independently verify the correctness of the information I have provided.

Employment with the church is for no definite period. Employment may be terminated by either the employee or the employer, at any time, with or without notice and with or without cause.

Today's Date*

Date

Application for Employment – Crossroads Daycare

PERSONAL INFORMATION

EDUCATION & TRAINING

EMPLOYMENT

REFERENCES

CHRISTIAN BACKGROUND

We exist to bring people into full life in Christ.

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