King's Kids Employment Application

General Information

Name

Name Preferred

Address

Phone

This address will receive a confirmation email

Why are you interested in working in the King's Kids Preschool program?

Position Desired?

Church Membership?

Are you a Christian?

Yes No

Have you been accused of child abuse?

Yes No

Have you been convicted of a crime?

Yes No

Education

Elementary School

High School

College or University

Other

Work Experience

1. Employer:

Emplyer Address

Employer Phone Number:

Supervisor:

Position:

Duties:

Employed from (date to - from):

Reason for leaving:

2. Employer:

Employer Address:

Employer Phone:

Supervisor:

Position:

Duties:

Employed from (date to - from):

Reason for leaving:

3. Employer:

Employer Address:

Employer Phone:

Supervisor:

Position:

Duties:

Employed from (date to - from):

Reason for leaving:

Personal References (at least one must be a minister)

Name

Address

Relationship

Number of years known?

Name

Address

Relationship

Number of years known?

Name

Address

Relationship

Number of years known?

Authorization and Release of Information

I authorize Woodmont Baptist Church and its agents to contact any person or employer listed on the employment application to confirm information supplied by me and / or to obtain ether material information about my employment. I authorize all persons and employers to release any information about my qualifications. I also release any person or employer that provides information From any and all liabillty for providing that

information.

Sign & Date

Background Check and Drug Testing

I authorize Woodmont Baptist Church and its agents to conduct a background check on myself with the Florence Police Department. I also understand that I may, at anytime before or during my employment, be subject to scheduled or random drug testing.

Signature & Date

Description

Please fill out this form and click submit.

King's Kids Employment Application

Description

Please Fix the Following