ELC Employment Application

Email address *

Application Date *

Month Day Year

Date Available to Start *

Month Day Year

Name (first, middle initial, last) *

Current Address (street, city, state, zip) *

Daytime Phone Number *

Evening Phone Number *

Social Security Number

Permanent Address and Phone Number if different than present address

Date of Birth *

Month Day Year

N.C. Driver's License Number *

Please indicate your position preference bellow. *

Lead Teacher Assistant Teacher Substitute Kitchen Staff

Are you looking for full time or part time employment? *

Full Time Part Time Either

Which age group are you comfortable working with? *

Three Year Olds Four Year Olds All of the Above

How did you learn about the position for which you are applying? *

What would you like to be doing five years from now? *

What is the highest grade level completed? *

12 GED College 1 yr College 2 yrs College 3 yrs College 4 yrs College 5 yrs College 6 yrs

What degree or degrees do you hold?

College Major and Minor

Sequentially list your teaching experience with most recent first. Include the school's name, grade or ages taught, and the dates. *

List the dates of any trainings you have completed in the past year (first aid, CPR, etc.) *

To what degree are you familiar with the Bob Jones Christian curriculum? *

Employment History. Please start with your current or most recent employer first. Include the employer name, dates employed, position held, ending pay, supervisor's name and phone number, and your reason for leaving. *

Please list 3 professional references. These should be people who we can contact and are qualified to speak of your professional training and experience. Include their name, position, and phone number. *

Summarize your salvation experience *

Why do you wish to teach or work in a Christian school? *

What can your personally contribute to Gorman Early Learning Center? *

Do you have an up to date NC Childcare Qualifying letter? *

Yes No Unsure

What days and hours are you available to work? *

What is your desired hourly pay? *

By signing my name below (use the cursor to sign), I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions and former employers to disclose to the school any and all employment records, performance reviews, letters, reports, and other information related to my employment, without giving me prior notice of such disclosure. I authorize investigation of all statements made in this application and understand that false information of documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action, or any dismissal if I am employed, and/or criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications.

Signature *

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