Job Application - Victory Village

Victory Village Employment Application
This job requires you to be at least 18 years of age with a current state drivers license and a high school diploma or equivalent to.
Application Date *

Month Day Year
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Day Time Contact Phone *

Area Code Phone Number
E-mail *
Date You Are Available to Begin Employment

Month Day Year
Are You 18 Years Old or Older?

YES NO
Are You Legally Entitled To Work In The United States? *

YES NO
Highest Level of Education Completed: *
Do You Have a Reliable Way to Get to and From Work? *

YES NO
Do You Have a Valid Driver's License? *

YES NO
Have You Ever Been Convicted of a Felony? *

YES NO
Name of Church if You Are Currently Attending
Can You Please Give a Brief Testimony About Your Faith
What Time Of Day Are You Available (Check All That Apply)

Morning Afternoon Evening Over Night Weekdays Weekends
Special Notes About Availability
How Many Hours a Week Are You Available

Less then 20 20-40 40+
Postion You Are Applying For

Dorm Staff School Staff Summer Intern Volunteer Only Cook Any
WORK HISTORY / EXPERIENCE

Please list your most current work history/experience
Employer's Name (Most current)
Position Held
Supervisor's Name
Telephone

Area Code Phone Number
Reason for Departure
Duties
Start Date

Month Day Year
End Date

Month Day Year
May we contact this employer?

YES NO
If NO, reason why not
Employer's Name (Next most current)
Position Held
Supervisor's Name
Telephone

Area Code Phone Number
Reason for Departure
Duties
May we contact this employer?

YES NO
If NO, reason why not
List Other Positions / Experience That Might Be Relevant to This Line of Work Please Include Supervisor Names
References

Please submit 3 references who have known you over one year and are not a relative. (Please include at least one employment reference)
Reference 1

First Name Last Name
Phone Number

Area Code Phone Number
E-mail
How Long Have you Known This Person?
How Do You Know This Person?
Reference 2

First Name Last Name
Phone Number

Area Code Phone Number
E-mail
How Long Have You Known This Person?
How Do You Know This Person?
Reference 3

First Name Last Name
Phone Number

Area Code Phone Number
E-mail
How Long Have You Known This Person?
How Do You Know This Person?
Click Here to Upload A Resume (Optional)
Enter the message as it's shown *
False information given or implied on an application for is grounds for immediate dismissal without further notice.

I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if Victory Village at anytime learns of falsification or material omission in the information provided on this application form and related documents. Victory Village Christian Academy may contact my former employers. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release Victory Village , its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Victory Village policies, rules, and procedures. I understand that Victory Village reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at anytime. I agree to make myself available for random drug testing.
Type Signature *
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