JKV Employment Application


Thank you for completing this application form. We appreciate your interest in working for John Knox Village and assure you that we are sincerely interested in your candidacy. A clear understanding of your background and work history will aid us in placing you in a position that provides you with the greatest opportunity for success.

 

* - indicates Required Fields

PLEASE TELL US ABOUT YOURSELF... 
*First Name:  
Middle Initial:  
*Last Name:  
*Email:  
*Area Code:  
*Telephone Number:     (Use Format: 775-4604)
Fax Number:  
*Present Address:  
Address Line 2:  
*City:  
*State:  
*Zip:  
*Country:  
Number of Years at Current Address:  
Do you want to work Full-time or Part-time?  
Type of Position applied for:  
Preferred Shift:  
How did you learn of this opening?  
If you selected "other", please describe:  
If you selected "employee", please type their name:  
Have you worked with us before?  
If yes, when?  
List any friends or relatives working with us:  
If hired, on what date will you be able to start?     (Use Format: 08/01/2006)
EDUCATION
What is your highest education level completed?  
If you are hired for a position that requires state or national registration/certification, you must furnish us with current proof of certification or registration. Please describe your current licenses, registrations or certifications (including years held and states):  
PRIOR WORK HISTORY #1 (List in order, past or present)
*Name of Current or most Recent Employer:  
*Address:  
*City:  
*State:  
*Zip:  
*Area Code:  
*Phone:     (Use Format: 775-4604)
*Supervisor's Name & Title:  
*Reason for Leaving:  
*May we contact?:  
*Start Date:     (Use Format: 08/01/2006)
*Starting Salary:     (Use Format: $0/hour)
*Date Left:     (Use Format: 08/01/2006)
*Ending Salary:     (Use Format: $0/hour)
*Describe your title and work you did:  
PRIOR WORK HISTORY #2
Name of Current or most Recent Employer:  
Address:  
City:  
State:  
Zip:  
Area Code:  
Phone:     (Use Format: 775-4604)
Supervisor's Name & Title:  
Reason for Leaving:  
May we contact?  
Start Date:     (Use Format: 08/01/2006)
Starting Salary:     (Use Format: $0/hour)
Date Left:     (Use Format: 08/01/2006)
Ending Salary:     (Use Format: $0/hour)
Describe your title and work you did:  
PRIOR WORK HISTORY #3
Name of Current or most Recent Employer:  
Address:  
City:  
State:  
Zip:  
Area Code:  
Phone:     (Use Format: 775-4604)
Supervisor's Name & Title:  
Reason for Leaving:  
May we contact?  
Start Date:     (Use Format: 08/01/2006)
Starting Salary:     (Use Format: $0/hour)
Date Left:     (Use Format: 08/01/2006)
Ending Salary:     (Use Format: $0/hour)
Describe your title and work you did:  
CRIMINAL HISTORY CHECK
Have you ever been convicted of a crime?  
If Yes, describe in full:  
APPLICANT CERTIFICATION & AGREEMENT

I certify that the data I have entered in this employment application (and any attachments) is true and complete. I understand that if employed falsified statements on this application shall be considered sufficient cause for dismissal. I authorize any and all schools, former employers, references, and others who have information about me to provide such information to John Knox Village, and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that any offer of employment is conditional upon my taking and passing a pre-employment drug screening test and criminal background check. I further understand that I may be required to submit to a drug screening test at any time if employed.

I understand that this application is considered current for three months. If I wish to be considered for employment after three months, I must fill out and submit a new application.

John Knox Village is a drug-free workplace, an equal opportunity employer, and complies with all appropriate Federal and State law.

By selecting "I agree", I acknowledge that I have read, understand, and agree to the above statements.
Please read the statement on the left. Then, select whether you "agree" or "disagree".
 

 

 

 

 

 

 

 

John Knox Village of Central Florida, Inc.
698 Monastery Road
Orange City, FL 32763
Marketing Office: 1-800-344-4504
Fax: (386) 775-4604
E-mail: info@johnknox.com