Bethel Job Application Form Please read all the information below and fill out the form completely. 1Application Requirements2Contact Information3Education and Training4 Employment History5 At Bethel Bible Village, the safety of the children we care for is utmost in importance. You may find that this application requires more information than you provide to a typical workplace. This information is required to meet compliance standards and to make sure our children are protected. Applicants are considered for all positions without regard to race, color, gender, national origin, age, marital or veteran status, presence of a non-job-related medical condition or handicap, or any other basis prohibited under applicable law, aside from religion. This statement applies with the exception of bona fide occupational qualifications (BFOQ) allowed according to regulations issued by the Tennessee Commission for Human Development. This is a Christian organization. All employees are required to follow Biblical tenets in all dimensions of their lives.(Required) I have read and understand this statement. I understand that prior to employment, this agency requires all candidates to do the following. Check the box next to each line to indicate you have read and agree to comply with these requirements:(Required) Complete this Application for Employment in full. Have personal interviews with appropriate supervisor and directors as directed by Human Resources. Provide a minimum of five written statements of reference, including one former employer. (You will be asked to list references in this application, and a form will be sent to them by Bethel Bible Village.) Have a physical examination, tuberculin skin test (TB) and drug screen. If you have written records of a physical exam /TB test performed within the past six (6) months, such records will be sufficient. If not, a local healthcare provider will conduct the physical, tests and drug screen at the expense of Bethel Bible Village. Sign a release authorizing Bethel Bible Village to accomplish background checks as necessary. Agree to consent to take such test(s) as designated by Bethel Bible Village. Position you are applying for:(Required)Please choose only one per application. Teacher Social Worker Thrift Store Associate Other If "other," which position? Have you applied for a position at this agency before?(Required) Yes No I prefer to work:(Required) Full Time Part Time On a Temporary Basis Full Name(Required) First Middle Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone(Required)Mobile PhoneWork PhoneI prefer to be contacted:(Required)Home PhoneMobile PhoneWork phoneEmailEmail(Required) Confirm Email(Required) Are you legally qualified to work in the United States?(Required) Yes No Have you been convicted of any crime, other than traffic violations?(Required) Yes No If yes, please describe: (A conviction itself does not constitute an automatic bar to employment. The date and seriousness of the crime will be considered.) Education and TrainingWhat is the highest level of education you've completed?:(Required) High School Equivalency High School Graduate Some college College Graduate Advanced degree List the schools you have attended, including high school, college or vocational programs. Once you have added a school, click the + at the end of the line to add another.(Required)Institution NameDegree SoughtDegree Completed (yes or no)City, State and Zip Code Add RemoveDescribe any certifications, special training or skills you have acquired that are applicable to this position: Employment Record (Please list all previous jobs. Begin with your current or most recent employment):1. Employer name:(Required) Employer's Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your job title while employed there:(Required) Start date and Leave date:(Required) Reason you left this position:(Required) Your supervisor's name:(Required) 2. Employer name: Employer's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reason you left this position: Start date and Leave date: Your job title while employed there: Your supervisor's name: 3. Employer name: Employer's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your job title while employed there: Start date and Leave date: Reason you left this position: Your supervisor's name: Please upload a copy of your resume here.(Required)Max. file size: 256 MB.Please upload a cover letter here.Max. file size: 256 MB. References and Background check:Please list five references who are familiar with your qualifications. Include AT LEAST ONE former employer. Please do NOT include family members or other relatives. Reference #1:(Required)NameEmailPhoneStreet addressCity, State and Zip Code Add RemoveReference #2:(Required)NameEmailPhoneStreet addressCity, State and Zip Code Add RemoveReference #3:(Required)NameEmailPhoneStreet addressCity, State and Zip Code Add RemoveReference #4:(Required)NameEmailPhoneStreet addressCity, State and Zip Code Add RemoveReference #5:(Required)NameEmailPhoneStreet addressCity, State and Zip Code Add RemovePlease list the address of every place you have lived during the past five years. Once you have added an address, click on the + sign at the end of the line to add another one.(Required)Dates of ResidenceStreet AddressCity, State and Zip Code Add RemoveElectronic Signature: By checking this box, I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above, agree to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for damage that may result from furnishing the same to Bethel Bible Village. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice. I understand I will be asked to sign this statement in person, if I am invited for an interview.(Required) I hereby certify that all information provided is accurate. NameThis field is for validation purposes and should be left unchanged.
