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| 1) Position desired |
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2) Ministry location preferrred
(check all that apply) |
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3) Hours you would be available
(check all that apply) |
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4) Hours you would prefer
(choose one) |
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5) How did you
first learn
about
this job opening? |
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| 6) If "Other" is selected, please elaborate |
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| 7) First name |
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| 8) M.I. |
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| 9) Last name |
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| 10) Mailing address |
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| 11) City |
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| 12) State |
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Zip
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| 13) Last 4 digits of Social Security number |
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| 14) E-mail address(es) |
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| 15) Home phone |
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| 16) Cell phone |
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| 17) Work phone |
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18) Are you legally authorized to work in the United States, either through citizenship
or a current work visa? |
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| 19) Are you on layoff and subject to recall? |
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| 20) Can you travel if the job requires it? |
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| 21) Have you ever previously applied for employment with FBCH? |
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| 22) Have you ever been employed by FBCH? |
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| 23) Have you ever been the subject of a child abuse or child neglect investigation? |
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| 24) Have you ever been convicted of a misdemeanor or felony? |
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| 25) Do you have a valid driver's license? |
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26) During the past five years, have you received a traffic ticket or been
charged with a traffic violation? |
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| 27) Have you ever been denied issuance of a driver's license, or had your license suspended or revoked? |
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Your Spiritual Background
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| 33) Denominational preference |
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| 34) Your church's name and location |
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| 35) Are you active in this church? |
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| 36) If no, why? |
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37) Do you lead a Christian lifestyle and abstain from alcohol, tobacco
and illegal drugs? |
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| 38) Do you have a high school diploma or GED? |
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| 39) High School grade completed |
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| 40) College years completed |
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| 41) College degree(s) |
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| 42) College(s) name and location |
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| 43) Detail any special training, experience,
courses,
achievements, skills, licenses, certifications, or education honors |
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(You may skip this "Computer Skills" section if you are applying
for a House Parent or Maintenance position) |
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44) List computer software
you have used,
and rate your proficiency
1 = Beginner
2 = Intermediate
3 = Advanced |
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| (List each job you've held, starting with your current or most recent) |
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87) Is there anything else you'd
like us to know about you? |
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Authorization and Agreement
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I, , authorize my current and former employers and any personal references — listed in this Employment Application or any resume or Letter of Recommendation I may submit — to release information to Florida Baptist Children's Homes (FBCH) regarding my work performance, employment and payroll history, personal lifestyle, habits, character, and any other information which FBCH deems pertinent in considering my Application.
I certify that all information I submit to FBCH is true and complete to the best of my knowledge and I authorize FBCH to investigate any and all said information, including whether I have any history of criminal conduct, child abuse/neglect, or moral turpitude.
In the event I am employed by FBCH, I understand that I may be discharged if it is determined I provided any false or misleading information — whether written or oral — regarding my background or qualifications.
I understand, also, that I will be required to abide by all FBCH rules and regulations.
To continue, you must agree to the Authorization and Agreement.
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