WeeCare Application | FCC

Wee Care Employment Application

First Name

Middle Name

Last Name

Address

City

State

ZIP Code

Phone

Are you a citizen of the United States?

Yes

If no, are you authorized to work in the U.S.?

Yes

Have you ever worked for this church?

Yes

If yes, when?

Employment History

Employment #1 - Dates

Employment #1 - Place and Supervisor

Employment #2 - Dates

Employment #2 - Place and Supervisor

Employment #3 - Dates

Employment #3 - Place and Supervisor

References

Reference #1 - Relationship

Reference #1 - Name, Address, Phone Number or Eamil of Reference

Reference #2 - Relationship

Reference #2 - Name, Address, Phone Number or Eamil of Reference

Reference #3 - Relationship

Reference #3 - Name, Address, Phone Number or Eamil of Reference

I understand that verification of eligibility to work in the United States and criminal background checks are performed prior to employment for all employees of First Christian Church.

I understand that by submitting this application, I attest that all of the included information is accurate and true.

Thank you! We’ll be in touch.

First Christian Church
(Disciples of Christ)

Wee Care Employment Application

Employment History

References

PHONE NUMBER

ADDRESS

EMAIL