Thank you for your interest in joining the staff at Apostolic Christian Skylines.  It is the policy of Apostolic Christian Skylines to give equal opportunity to all qualified persons without regard to race, color, religion, sex, marital status, disability, national origin or age.  To apply for an employment position, fill out the following form and click submit.
 

Apostolic Christian Skylines Application for Employment

1. You must fully and accurately complete this application for employment. Incomplete applications will not be considered. If the item does not apply, type N/A.

2. This application for employment will be inactive after ninety (90) days. If you want to be considered after that time, you must complete a new application for employment.

Date

Name - Last, First, Middle Initial

Telephone Number

Social Security Number

Present Address - Street, City, State, ZIP

Yes No If you are hired, can you supply proof of your age?

Yes No If you are hired, supply the required documentation to verify your lawful right to work in the United States?

Yes No Have you ever been convicted of a felony or misdemeanor?

If yes, please explain:

Position Desired:

Date you can start:

Salary Desired:

Are you employed now? Yes No

If so, may we inquire of your present employer? Yes No

If R.N. or L.P.N. give State Liscense #:

If applying for C.N.A. are you certified? Yes No

Have you ever been employeed by this facility? Yes No

If so, dates:

What shift(s) are you interested in? 1st 2nd 3rd Part Full

Education
Name & Location of School, Number of Years Attended

Elementary
Diploma Yes No

High School
Diploma Yes No

College
Diploma Yes No

Other Schooling
Diploma Yes No

Do you know or are you related to any employee or resident here? Yes No

If so, whom?

References
Give names of THREE (3) people not related to you but who have known you at least one year.

Name, Address, Phone, Business, Years Known

1.

2.

3.

Former Employeers
(Give most recent employer FIRST) (List name used at each place of employment if different)

1. Name & Phone of Employer
Dates Employed
Wage Received
Position
Reason for leaving

2. Name & Phone of Employer
Dates Employed
Wage Received
Position
Reason for leaving

3. Name & Phone of Employer
Dates Employed
Wage Received
Position
Reason for leaving

4. Name & Phone of Employer
Dates Employed
Wage Received
Position
Reason for leaving


What prompted you to apply here or who referred you?

Use this space to give us any information which you feel would be helpful to us in deciding why you would make a good employee.