Nursery Attendant Employment Application Name Date Available Main Contact Phone Number Email Address Address Are you A US citizen? Are you A US citizen? Yes No Are you willing to submit to a background check and drug screening? Are you willing to submit to a background check and drug screening? Yes No What is your highest completed education level? What is your highest completed education level? Some High School High School Graduate Associate's Degree Bachelor's Degree Post-Baccalaureate Have you ever been convicted of a felony? Have you ever been convicted of a felony? Yes No Please Explain What experience do you have in ministry with children? What experience do you have in ministry with children? New Field Experience Work History (By providing this information, you are giving us permission to contact your previous supervisors.) Work History (By providing this information, you are giving us permission to contact your previous supervisors.) New Field Company Position Held Date Employed Date Leaving Reason for Leaving Supervisor Name Supervisor Phone Information (Numbers Only) Supervisor Email Add a second company Add a second company Company Position Held Date Employed Date Leaving Reason for Leaving Supervisor Name Supervisor Phone Information (Numbers Only) Supervisor Email Add a third company Add a third company Company Position Held Date Employed Date Leaving Reason for Leaving Supervisor Name Supervisor Phone Information (Numbers Only) Supervisor Email Add a fourth company Add a fourth company Company Position Held Date Employed Date Leaving Reason for Leaving Supervisor Name Supervisor Phone Information (Numbers Only) Supervisor Email Add a fifth company Add a fifth company Company Position Held Date Employed Date Leaving Reason for Leaving Supervisor Name Supervisor Phone Information (Numbers Only) Supervisor Email What makes you uniquely qualified to serve in the Children's Ministry at Nashville Methodist Church? What makes you uniquely qualified to serve in the Children's Ministry at Nashville Methodist Church? New Field Qualifications Would you be willing to sign a statement of compliance with the beliefs and ethics of the Nashville Methodist Church? Would you be willing to sign a statement of compliance with the beliefs and ethics of the Nashville Methodist Church? Yes No References - Please provide 2 professional references and 1 family reference. References - Please provide 2 professional references and 1 family reference. New Field Reference Name Relationship Reference Phone Number Reference Email Reference Name Relationship Reference Phone Number Reference Email Reference Name Relationship Reference Phone Number Reference Email 8 + 8 = Submit Application
