Employment Application

Date*

Name*

First Middle Last Suffix

Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Mobile Phone

Email*

Enter Email Confirm Email

Are you 18 years old or older?*

Yes
No

It is the policy of St. Luke’s United Methodist Church to hire only United States citizens and aliens lawfully authorized to work in the United States. If employed by St. Luke’s will you be able to provide documentation evidencing employment authorization and identity within three business days of the date of hire?*

Yes
No

Have you ever been convicted of, or placed on deferred adjudication for a felony/misdemeanor involving theft, violence, or moral turpitude?*

Yes
No

Have you completed a St. Luke’s Day School application before?*

Yes
No

If above answer is yes then choose Date*

Desired Position*

Part Time
Full-time (30 hours/week)
Full-time (40 hours/week)

Date you can begin employment*

May we contact your current employer?*

Yes
No

How were you referred to our school?

Education & Certificates

Do you have a high school diploma or GED certificate?*

Yes
No

School Name*

School Location*

Street Address City State / Province / Region ZIP / Postal Code Country

Do you have a Child Development Assoc. (CDA) Certificate?*

Yes
No

Where*

Expiration Date*

Do you have a First Aid Certificate?*

Yes
No

Where*

Expiration Date*

Do you have an Infant/Child & Adult CPR Certificate?*

Yes
No

Where*

Expiration Date*

Schools Attended After High School and/or Special Training Received

School Name*

School Location*

Street Address City State / Province / Region ZIP / Postal Code Country

Course of Study*

Years Completed*

Did you graduate?*

Yes
No

List Degree, Diploma or Certificate*

Add Another School?

Yes
No

School Name*

School Location*

Street Address City State / Province / Region ZIP / Postal Code Country

Course of Study*

Years Completed*

Did you graduate?*

Yes
No

List Degree, Diploma or Certificate*

Describe any other education or skills you may have

Employment History

List below your work experience, paid or unpaid beginning with your most recent.

Employer/Kind of Business

Your Job Title

Dates of Employment

Address

Supervisor Name and Title

Phone Number

Email

Hours Per Week

Salary or Hourly Rate

Duties

Reason for Leaving

Employer/Kind of Business

Your Job Title

Dates of Employment

Address

Supervisor Name and Title

Phone Number

Email

Hours Per Week

Salary or Hourly Rate

Duties

Reason for Leaving

Employer/Kind of Business

Your Job Title

Dates of Employment

Address

Supervisor Name and Title

Phone Number

Email

Hours Per Week

Salary or Hourly Rate

Duties

Reason for Leaving

References

List three people who are not related to you and who have definite knowledge of your business or professional qualifications for the job for which you are replying. Do not use supervisors you listed in the employment section.

Name*

Business/Occupation*

Relationship*

Email*

Phone*

Name*

Business/Occupation*

Relationship*

Email*

Phone*

Name*

Business/Occupation*

Relationship*

Email*

Phone*

Physical Condition

Do you have any physical or mental impairment that would substantially limit your ability to perform the job for which you are applying?*

Yes
No

If Yes, please explain and include in your explaination any procedures which you intend to use to perform the job not withstanding the impairment.

Are there any accommodations which St. Luke's can make that would enable you to perform the job properly and safely?*

Yes
No
N/A

If yes, please explain.

Upload Resume

Drop files here or

Max. file size: 50 MB.

Authorization

By typing your name below: -I certify that all statements 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 understand that in the event of my employment with St. Luke's United Methodist Church, I will comply with all guidelines issued by the Church or any governing body. I understand that St. Luke's or I may terminate my employment at any time, regardless of my length of service, without cause or notice. -I authorize St. Luke's Methodist Church to inquire as to my prior work and school records of any all former employers and schools and to make any investigation of my personal history including police records. I hereby give my consent for any and all former employers and schools to make available to the Church such information as it may request and release all parties from all liability for any damage that may result from furnishing this information to St. Luke's. It is the policy of St. Luke's United Methodist Church/Day School to afford equal opportunity to all persons regardless of race, color, sex, national origin, age, physical or mental disability unrelated to job performance, and any other characteristic protection by law.

Digital Signature*

First Middle Last

Playing & Learning Together

Join Our Team

Education & Certificates

Schools Attended After High School and/or Special Training Received

Employment History

References

Physical Condition

Authorization