Application for Assistant Nursery Attendant

Ormond Beach Presbyterian Church is dedicated to making disciples and meeting human need through a supportive Christ-centered community that is growing spiritually and learning to live authentically. We are excited that you are interest in becoming a member of the OBPC staff team! Please fill out the application below completely and then click "Submit" when done. Once we have your application we will contact you in the following days.

Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone
Email*
Do you have a valid driver's license?*
In what state was your driver's license issued?
Please provide your driver's license number:
What skills or training do you possess that would be useful in this position?*
What are your career goals?*
Have you ever been convicted of a crime, or are any criminal charges pending against you in any jurisdiction? If yes, explain.*
Please list all colleges and high schools you have attended (School name and degrees earned)*
Please list all employment for the past 7 years and any other relevant work experience.*
Please list any experiences, including volunteer work, not listed in the above employment, including the name of the organization, date of involvement, and reason for leaving.*
References: Please list names, addresses and phone numbers of three persons who have known you a minimum of three years and can be contacted as professional and personal references.*
Name Address Phone Number

(Click the + at the end of the first row to add another row)
If hired, on what date could you report?*
MM slash DD slash YYYY
Please tell us your salary requirements:*
I hereby authorize:*
- Ormond Beach Presbyterian Church to contact all prior employers and any references listed to verify all information provided and to obtain any and all information related to my character and past work performance.
I further release:*
- all references and prior employers from any liability for information provided in good faith.
I affirm:*
- that I have neither been convicted of, nor am I subject to pending charges for any offense involving actual or attempted crimes involving children or sexual offenses in any jurisdiction. I recognize that as a condition of my employment, which may include drug screening, I am required to undergo a complete background check, and I consent to do so, realizing the importance of promoting the Employer's ability to protect its workers and those whom it serves.
I understand:*
- that this is an application for employment, and that no employment contract is being offered at this time.
I understand:*
- that if employed, I will be required to abide by all church policies as described in the Ormond Beach Presbyterian Church Handbook for Employees. I further understand and agree that OBPC is an "at will employer" meaning that it is legal for the church to terminate employment of non-exempt employees without cause and with no advanced notice. Nevertheless, except for cases of egregious behavior, it is the policy of OBPC to give employees two weeks' notice and to request that employees who are resigning give two weeks notice.
I hereby affirm and acknowledge:*
- by signing immediately below that all of the information provided and all my answers to the foregoing questions are true and complete, and that any misrepresentation or omission may be grounds for rejection, or if later employed, dismissal.
By signing this application I am acknowledging that I have answered all of the questions truthfully and to the best of my ability.*
First Middle Last
Today's Date:*
MM slash DD slash YYYY
Authorization for Release of Information from Previous Employer*
- I am applying for a position at the Ormond Beach Presbyterian Church, and I authorize the release and/or disclosure of personnel information from my current or previous employment listed below.
Please list current or previous employer contact information.*
Name of Company/Employer Contact Person Contact Number

(Click the + at the end of the first row to add another row)
I acknowledge*
- this information may include but not limited to dates of hire, reason for termination, titles of positions held, skills performed, reliability, attendance, and knowledge of any criminal behavior and/or sexual misconduct this authorization will cease to be effective ninety (90) days from the date of signing.
Please provide your date of birth:*
MM slash DD slash YYYY
By signing below I am authorizing the release of information for my current or previous employer as detailed above.*
First Middle Last
Today's Date:*
MM slash DD slash YYYY
If you wish to also upload your resume please do so here:
Max. file size: 64 MB.

Name	Address	Phone Number

Name of Company/Employer	Contact Person	Contact Number