| *Name |
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| *Street Address |
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| *City |
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| *State |
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| *ZIP |
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| *How long have you lived there? |
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| *Phone Number |
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| *Social Security No. |
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| Email |
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| *Previous Address |
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| *How long did you live there? |
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| *Do you have a driver's license? |
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| *Driver's License Number |
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| *Type of License |
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| *State Licensed In |
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| *License Expiration Date |
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| *Are you at least 18 years of age? |
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| *Can you prove your eligibility to work in the United States? |
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| *Do you have any children? |
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| *If so, what are their ages? |
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| *Type of position preferred? |
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| Salary desired? |
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| *Date available for work? |
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| How were you referred to us? |
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| *Have you been employed by RCDC previously? |
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| *Have you applied at RCDC before? |
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| *Are you related to any employee of Rhema? |
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| *If so, to whom and what is the relationship? |
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| *How many days of work/school have you missed in the last year due to accidents or illnesses? |
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| *Is there any type of work which your physical condition prohibits, or have you ever been advised by a physician not to perform certain types of work? |
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| *If yes, please explain. |
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| *Are you planning on furthering your education at a later date? |
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| *Are you currently a First-Year Rhema Bible Training Center student? |
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| *Are you currently a Second-Year Rhema Bible Training Center student? |
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| *Are you a graduate of Rhema Bible Training Center? |
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| *Use this space to describe interests, skills, and aptitudes that you feel qualify you for a position at Rhema. You may wish to include civic and community activities, professional societies, hobbies, sports, special skills or training. |
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| *Have you been born again? |
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| *Have you been filled with the Spirit with the evidence of speaking in other tongues? |
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| *What church do you attend? |
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| *Are you a regular attendee? |
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| *Do you smoke? |
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| *Are you acquainted with Kenneth Hagin Ministries? |
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| *How? |
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| *Have you ever been convicted or incarcerated? |
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| *If yes, please explain. |
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| *Are you CPR/First Aid Certified? |
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| *Do you currently have a Child Development Associate Credential (CDA)? |
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| *Are you currently or do you plan to work towards a CDA? |
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| *Starting with your present or most recent, list all employers (include address, phone number, and supervisor's name). List only those employers located within the United States. Include self-employment, summer and part-time employment. |
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| *If you have not had employment, please explain. |
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| *Please list THREE personal references (Not Former Employers or Relatives). Please include names, addresses, and phone numbers. |
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| *Why do you desire employment with Rhema? |
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| *May we contact your present employer for a reference? |
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| *If no, please explain: |
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| *May we contact your previous employers? |
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| *If no, please explain: |
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