Employment Opportunities

Today's Date
MM slash DD slash YYYY
Position Applying For:
Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*

What interests you about the position for which you are currently applying?*
What has prepared you for the position for which you are currently applying?*
Resume/CV Upload
Accepted file types: pdf, doc, docx, odf, txt, rtf, Max. file size: 512 MB.

Most Recent or Current Employment
Employer*
Phone
Start Date*
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY

Leave this blank if you are still working for this employer.
Most Recent or Current Employment*
Please describe your current or most recent employment experience, including: 1. Position held 2. Responsibilities 3. Immediate Supervisor Name and Phone Number 4. Reason for Leaving
May we contact your supervisor now?*
- Yes
- No
If not, when may we contact him or her?
Previous Employment #1
Employer
Supervisor
Immediate Supervisor Name Phone Number
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Description
Please describe the position held and reason for leaving.
Previous Employment #2
Employer
Supervisor
Immediate Supervisor Name Phone Number
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Description
Please describe the position held and reason for leaving.
Previous Employment #3
Employer
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Supervisor
Immediate Supervisor Name Phone Number
Description
Please describe the position held and reason for leaving.

Education
Education
Name of School Year Completed Area of Study Degree
References
References*
Name Phone Number Relationship How long have you known this person?
References*
Name Phone Number Relationship How long have you known this person?
References*
Name Phone Number Relationship How long have you known this person?
Volunteer Experience
Volunteer Experience
Organization Name Role Dates
Volunteer Experience
Organization Name Role Dates
Volunteer Experience
Organization Name Role Dates

Have you ever been accused of physically, sexually, or emotionally abusing a child or an adult?*
If yes, please explain.
Have you ever been convicted of, or pled guilty to, or pled no contest to a crime other than a minor traffic violation?*
If so, please explain.

Acknowledgment, Release, and Signature
Acknowledgement and Electronic Signature: I have read and understand these provisions. I agree that all of my answers are true and my electronic signature serves as a substitute for a written signature and acknowledgement of policies.*
To the best of my knowledge, the information contained in this application is complete and accurate. I understand that providing false information is grounds for not hiring me or for my discharge if I have already been hired.
I authorize any person or organization whether or not identified in this application, to provide any information concerning my previous employment, education, credit history, driving record, criminal conviction record, sexual offender registry or other qualifications for my employment. I also authorize St. Martin’s Episcopal Church, St. Martin’s Episcopal Preschool, and the Episcopal Diocese of Texas to request and receive such information. I hereby release St. Martin’s Episcopal Church, St. Martin’s Episcopal Preschool, The Episcopal Diocese of Texas, my former employers, and all other persons from any and all claims, demands, or liabilities arising out of, or in any way related to, such disclosures.
If hired, I agree to be bound by The Episcopal Diocese of Texas’ policies and procedures, including but not limited to the Diocesan Policies for the Protection of Children and Youth from Abuse, the Code of Conduct for the Protection of Children and Youth, and such other policies as may be required by St. Martin’s Episcopal Preschool. I acknowledge that, prior to or during my employment, St. Martin’s Episcopal Preschool may require any legal testing and/or examination, including, but not limited to medical, physical, drug and/or alcohol, psychological, and skill and aptitude. I also understand that my employment, or any offer or acceptance of employment, may be terminated at any time, with or without cause, and with or without prior notice at the option of St. Martin’s Episcopal Preschool or myself. Nothing contained in this application or in any pre-employment communication is intended to or does create between myself and St. Martin’s Episcopal Church or The Episcopal Diocese of Texas for either employment, volunteering or any other benefit. This employment of an “at will” relationship will remain in effect throughout my employment with St. Martin’s Episcopal Preschool and may not be modified by any oral or implied agreement.
Date
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

Employment Application

Step 1 of 6 – Basic Information

Most Recent or Current Employment

Previous Employment #1

Previous Employment #2

Previous Employment #3

Education

References

Volunteer Experience

Acknowledgment, Release, and Signature

Name	Phone Number	Relationship	How long have you known this person?

Name of School	Year Completed	Area of Study	Degree

Organization Name	Role	Dates

Organization Name	Role	Dates

Organization Name	Role	Dates