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Home
Who We Are
About Us
Four Congregations
Congregación Hispana
English Congregation
Karen Congregation
Japanese Congregation
Bulletins
Our Covenant
Pastors
Staff
Office Staff
Support Staff
Music Staff
Missionaries
Newsletters
Ministries
Children & Youth
Sunday School
Youth Fellowship
Scholarship Program
One Hope United
Counseling
Refugee Ministries
Homeless Services
Small Groups
Affiliate Ministries
Wilbur Warner Grant Program
Worship
Schedule
Music
Media
Donate
Contact Us
Calendar
NUrsery Worker Application
*
Indicates required field
Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
What skills do you bring to work with children/youth?
*
What other children/youth experience do you have? Please include organization names, dates worked, and a contact.
*
Please respond to the following statements as True or Not True.
1. No civil lawsuit alleging actual or attempted sexual discrimination, harassment, exploitation, or misconduct, physical abuse, or financial misconduct has ever been successfully prosecuted against me, settled out of court, or dropped because the statute of limitations had expired.
*
True
Not True
2. My driver’s license has never been suspended or revoked due to reckless driving, driving while intoxicated, or driving under the influence of controlled substances.
*
True
Not True
3. I have never been found guilty or pled guilty or pled no contest to felony criminal charges or had felony criminal charges dropped because the statute of limitations had expired.
*
True
Not True
4. At any time, in any profession, my employment has never been terminated for actual or attempted sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct by me; nor have I terminated my employment primarily to avoid facing such charges or to avoid being terminated because of such charges.
*
True
Not True
Are you aware of :
1. Having any traits or tendencies that could pose any threat to children, youth or others?
*
Yes
No
2. Any reason why you should not work with children or youth?
*
Yes
No
If the answer to any of the above questions is “yes” please explain:
*
What church or churches have you attended in the past five years (if applicable)?
Church Name
*
Pastor Name
*
Dates Attended
*
Church Name
*
Church Name
*
Pastor Name
*
Pastor Name
*
Dates Attended
*
Dates Attended
*
References (other than a relative)
Name
*
Address
*
E-mail Address
*
Relationship
*
Phone Number
*
Name
*
Address
*
E-mail Address
*
Relationship
*
Phone Number
*
If submitting a cover letter, please copy and paste text here:
*
If uploading a resume, do so here.
*
Max file size: 20MB
Application Verification and Release (please check to indicate that you accept)
*
I recognize that the organization to which this application is being submitted is relying on the accuracy of the information contained herein. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and correct. Should any of my responses to these statements change, I will immediately notify North Shore Baptist Church (hereafter, NSBC).
I authorize NSBC to contact any person or entity listed in this application, and I further authorize any such person or entity to provide the organization with information, opinions and impressions relating to my background or qualifications.
I voluntarily release NSBC and any such person or entity listed herein from liability involving the communication of information relating to my background or qualifications.
Name
*
Date
*
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