Job Application Please enable JavaScript in your browser to complete this form.1Basic Information2Position3Education4Skills/Training5Work History6References7Character8AuthorizationName *FirstMiddleLastDate of Birth *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *NextDesired PositionWhich position(s) are you applying for? *Church Office SecretaryNursery Worker/TeacherKids Day Out DirectorKids Day Out TeacherCustodianDate you can start *Are you currently employed? *YesNoWhere are you employed?May we contact your employer? *YesNoEmployer Name & Phone Number *First Name - Phone NumberPreviousNextEducationHigh SchoolDid you graduate?YesNoGraduation Year *CollegeDid you graduate?YesNoGraduation Year *Degree or Subject Studied *Trade, Business, or Correspondence SchoolDid you graduate?YesNoGraduation Year *Subject Studied *PreviousNextSkills/TrainingWhy are you qualified for this position?Do you have any special training that would be beneficial to the position you are applying for?Do you have any special skills that would be beneficial to the position you are applying for?PreviousNextWork HistoryPlease provide your most recent work history.Employer 1Start-End Dateex: January 2018-Present; January 2018-March 2020Name & Address of EmployerPositionReason for leavingEmployer 2Start-End Dateex: January 2018-Present; January 2018-March 2020Name & Address of EmployerPositionReason for leavingEmployer 3Start-End Dateex: January 2018-Present; January 2018-March 2020Name & Address of EmployerPositionReason for leavingPreviousNextReferencesPlease provide the names of three non-family references.Reference 1Name *FirstLastEmail *Phone *BusinessRelationship *Years Known *Reference 2Name *FirstLastEmail *Phone *BusinessRelationship *Years Known *Reference 3Name *FirstLastEmail *Phone *BusinessRelationship *Years Known *PreviousNextFaith & CharacterDo you have a personal relationship with Jesus Christ?YesNoBriefly write your testimony or story of faith journey.If you are not a member of First Baptist Corsicana, are you currently attending or member of another church? If so, where?Please list any gifts, training, education or other factors that you make you a good candidate for working with kids.Why do you want to work with kids at First Baptist Corsicana?Do you use illegal drugs? *YesNoHave you ever been hospitalized or treated for alcohol or substance abuse? *YesNoHave you ever been arrested for a criminal offense? *YesNoHave you ever been accused, arrested, or convicted for any sexually related crimes? *YesNoHave you ever been accused, arrested, or convicted for any abuse related crimes? *YesNoIs there any circumstance or pattern in your life (past or present) that would make it inappropriate for you to serve with minors or would compromise the integrity of First Baptist Corsicana? *YesNoIf you answered yes to any of the questions above, please explain in detail below. *Our BeliefsPlease read our beliefs about God, Jesus Christ, The Holy Spirit, The Bible, Humans, Salvation, Eternal Security, and Eternity.I understand that by being employed at First Baptist Corsicana, I will teach kids according to the beliefs of the church and will not teach contradicting information to scripture or beliefs of the church. *YesNoPreviousNextAuthorizationI certify that the facts contained in this application are true and complete to the best of my knowledge and 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 and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that poor credit history or conviction will not automatically result in disqualification from employment." In compliance with federal law, all personal hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.By typing my name below, I agree to the statement above. *PhoneSubmit