20-222-CSW-EVANS-TEST at Rehoboth Christian Ministries

First Name *

Last Name

Preferred Name

Address *

Email *

Phone *

Resume *

Cover Letter

Do you have a valid Class 5 Drivers License *

Yes
No

Do you have a current Police Information Check-Including Vulnerable Sector *

Date Available for Employment *

Hours and Days Preferred *

Are you related to a current Rehoboth employee? *

If YES. Name of employee and the relationship

Were you referred to Rehoboth Christian Ministries by a current Rehoboth Employee? *

If answered yes to question above, add name of and relationship to employee

Do you have a criminal conviction that has not been pardoned? *

Are you currently charged with a criminal offence of any kind? *

If answered yes to either question above, state all details including date, nature and exact description of the offense and the outcome.

Have you ever been teminated from a Community Disabilites Services position? *

If yes to the above question, share the circumstances.

Employment References: Please provide at least three (3) employment references along with phone number *

Personal References: Please provide at least three (3) personal references along with phone number *

This space is provided to supply any additional information, experiences, skills or qualifications that you feel would relate to the position you have applied for with Rehoboth Christian Ministries.

I authorize Rehoboth Christian Ministries to obtain references from past and present employers (as indicated at right) and I release Rehoboth Christian Ministries from liability or damages incurred because of any inquiry made and the furnishing if this information. *

I certify that the statement made by me in this application are true, accurate and complete. I understand and agree that a false statement may disqualify me from employment or result in dismissal. I agree that, if employed, I will accept all conditions of employment set out by Rehoboth Christian Ministries. *

See all the jobs at Rehoboth Christian Ministries here: http://rehoboth.recruiterbox.com/jobs

Application Form