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Employment Application
Name (*)
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City (*)
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Phone (*)
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Social Security Number (*)
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Address (*)
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Zip (*)
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Birthday (*)
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Email
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What position are you applying for?


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How did you hear about us?
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Do you attend church at least 4 tmes a month?
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If Yes, what church do you attend?
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Have you ever filled out an application with us before?
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Do you have any family or friends that work at VYCDC?
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Can we contact your current employer?
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Do you have children?
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If Yes, what are thier ages?
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Do you understand the doctrine of the Church Of God?
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Will you be able to work within that belief structure?
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Have you ever been employed by us before?
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Are you currently employed?
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When is the best time to contact you?
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Do you have any physical, mental, or medical impairment or disability that would limit your job performance in the position for which you are applying for? If yes. please explain.
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Are you prevented from lawfully becoming employed in this country becuase of Visa or Immigration status? (Proof of Citizenship or immigration status will be required upon employment.)
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What hours are you available to work?
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Are you willing to take training classes offered through the school or the county that would help prepare you to work with preschoolers?
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Date available to begin employment.
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High School
Name Of School
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Years Completed
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Undergraduate College
Undergraduate Name Of School
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Undergraduate years completed
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Graduate Professional
Graduate Professional Name of school
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Graduate Professional Years Completed
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Course of Study
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Undergraduate Course of Study
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Degrees
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Graduate Professional Course of Study
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Graduate Professional Degrees
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Describe any specialized training, apprenticeship, skills and extra-curricular activities.
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Please state any additional information you feel may be helpful to us in considering your application. If yes, please explain.
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Previous Employment
Name of Business 1
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Phone
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Supervisor
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Employed from
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Final hourly wage
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Address
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Position Held
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Reason for leaving
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Beginning hourly wage
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Work performed
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Name of Business 2
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Phone
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Supervisor
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Employed from
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Final hourly wage
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Address
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Position Held
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Reason for leaving
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Beginning hourly wage
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Work performed
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Name of Business 3
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Phone
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Supervisor
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Employed from
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Final hourly wage
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Address
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Position Held
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Reason for leaving
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Beginning hourly wage
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Work performed
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Reference 1
Reference 1 Name
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Phone
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Reference 2
Reference 2 Name
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Phone
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Pastoral Reference
Pastoal Reference Name
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Phone
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Address
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Address
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Pastor of what church
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