Bethel Bible Village Children's Home: jobs working with children abused, neglected or in family crisis.

ONLINE GIVING IS
NOW AVAILABLE

TOUR THE
BETHEL CAMPUS.

A Children's Home for Children of Family's in Crisis.

Online Employment Application

Position(s) Applied For:

Type of employment desired:
Full Time   Part Time   Temporary   Volunteer

Full Name:

Full Address:

Social Security Number:

Email Address:

Home Telephone:

Work Telephone:

Have you applied for employment at this agency before?

No   Yes

If under 18 years of age can you furnish a work permit?

No   Yes

The following information is required and is a bona fide occupational qualification for this agency or is needed for other permissible reasons.

If applying for a houseparent position, are you at least 21 years of age?

No Yes

May you legally work in the United States?

No Yes

Sex:

Male Female

Marital Status:

Single Married

If married, Date of Marriage

Number and Birthdates of Children:

Have you ever been convicted of any crime other than traffic violations?
No Yes
If Yes, please describe:
(A conviction itself does not constitute an automatic bar to employment. The seriousness of the crime and date of conviction will be considered.)

Do you have a valid driver's license?
No Yes
If Yes, State:
and License Number:
License Expiration Date:
Chauffeur's/Special License?
No Yes
Do you have a record of any moving traffic violations?
No Yes
If Yes, please explain:

Can you perform the essential functions of the position for which you have applied, with or without reasonable accommodation?

No Yes

List the person you would want notified in case of an emergency:
Name:
Relationship to you:
Address:
Phone:

List your academic, vocational, or professional education, and the public or private schools you attended. Begin with most recent.

Other business, trade schools, training or skills you would like to list.

Describe training or experience you have had related to direct child or youth care.

EMPLOYMENT RECORD
(Please begin with present or most recent employment):

1. Company:
Time of Employment:	From: To:
Address:
Reason for leaving:
Job Title:
Supervisor:

2. Company:
Time of Employment:	From: To:
Address:
Reason for leaving:
Job Title:
Supervisor:

3. Company:
Time of Employment:	From: To:
Address:
Reason for leaving:
Job Title:
Supervisor:

We may contact the employers listed above unless you indicate below those you do not want us to contact:
1 2 3 Reason:

REFERENCES
(Please list the names of five persons including at least one former employer, who are acquainted with you and your qualifications. Do not include names of relatives as references.)

1. Name:
Address:
City/St/Zip:
Phone:

2. Name:
Address:
City/St/Zip:
Phone:

3. Name:
Address:
City/St/Zip:
Phone:

4. Name:
Address:
City/St/Zip:
Phone:

5. Name:
Address:
City/St/Zip:
Phone:

Please list the places(s) of residence for the past five years below:
FROM / TO ADDRESS, CITY, STATE, ZIP

APPLICANT- THIS SECTION MUST BE INITIALED AND DATED

"I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above, give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for damage that may result from furnishing same to Bethel Bible Village. I understand and agree that, if hired, 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 prior notice."

You must enter your initials to agree to the stipulations of this application of employment:
Initials: Date:

(This application is current for 90 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered, it will be necessary for me to complete a new application.)

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Every good and perfect gift is from above.

- James 1:17