Kids Ministry Assistant Employment Form

Kids Ministry Assistant Employment Form

Organization Name:    Date of Application:

Personal Information

Phone:    Email:

Date of Birth:    Driver's License / ID #:

Position Information

Department:    Reporting Manager:

Desired Start Date:    Hourly Rate / Salary:

Full-Time    Part-Time    Seasonal/Temporary

Employment History (Most Recent First)

Job Title:    Dates Employed: From to

Job Title:    Dates Employed: From to

Education & Training

Graduation / Completion Date:    Relevant Trainings / Certifications:

Professional References (Minimum 3)

Phone:    Email:    Relationship:

Phone:    Email:    Relationship:

Phone:    Email:    Relationship:

Legal Disclosures & Consents

At-Will Employment: I understand that if hired, my employment with the organization is at-will and may be terminated by either party at any time, with or without cause or prior notice, unless a separate written agreement signed by an authorized representative provides otherwise.

Equal Opportunity: The organization provides equal opportunity for employment and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other protected characteristic prohibited by law.

Child Protection and Background Checks: Because this position involves work with minors, I acknowledge that successful hire is contingent upon satisfactory completion of background screening, reference checks, and any other clearances required by the organization. I certify that I will fully cooperate with these checks.

Authorization to Contact: I authorize the organization to contact prior employers, personal and professional references, and educational institutions to verify the information provided and to obtain any relevant information concerning my background. I release those parties from liability for providing such information.

Criminal History: Have you ever been convicted of, pled guilty to, or pled no contest to any felony or misdemeanor that has not been annulled or sealed?    No    Yes

Background Check Consent: By checking the box below I authorize the organization to conduct criminal background checks, sex offender registry checks, and child abuse and neglect registry checks as permitted by law. I understand that information obtained may be used in making employment decisions.
I consent to background and registry checks

Applicant Certification & Acknowledgement

I certify that the information contained in this application is true, correct and complete to the best of my knowledge. I understand that falsification, misrepresentation, or omission of facts on this application or on any document used to secure employment may result in rejection of my application or, if employed, termination.

I agree to comply with the policies, procedures, and code of conduct of the organization while serving in ministry. I understand that employees working with children are mandatory reporters and must report suspected abuse in accordance with applicable law and organizational policy.

I certify that all information provided on this form is true and complete and I agree to the above terms.

Additional Information

Relationship:    Phone:

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