Please follow the application process below. Thank you for your interest in St. Martin’s Episcopal Preschool. Employment Application Step 1 of 6 - Basic Information 16% Today's Date Position Applying For:Name First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* What interests you about the position for which you are currently applying?*What has prepared you for the position for which you are currently applying?*Resume/CV UploadAccepted file types: pdf, doc, docx, odf, txt, rtf. Most Recent or Current EmploymentEmployer*PhoneStart Date* End Date Leave this blank if you are still working for this employer.Most Recent or Current Employment*Please describe your current or most recent employment experience, including: 1. Position held 2. Responsibilities 3. Immediate Supervisor Name and Phone Number 4. Reason for LeavingMay we contact your supervisor now?*YesNoIf not, when may we contact him or her?Previous Employment #1EmployerSupervisorImmediate Supervisor NamePhone Number Start Date End Date DescriptionPlease describe the position held and reason for leaving.Previous Employment #2EmployerSupervisorImmediate Supervisor NamePhone Number Start Date End Date DescriptionPlease describe the position held and reason for leaving.Previous Employment #3EmployerStart Date End Date SupervisorImmediate Supervisor NamePhone Number DescriptionPlease describe the position held and reason for leaving. EducationEducationName of SchoolYear CompletedArea of StudyDegree EducationName of SchoolYear CompletedArea of StudyDegree ReferencesReferences*NamePhone NumberRelationshipHow long have you known this person? References*NamePhone NumberRelationshipHow long have you known this person? References*NamePhone NumberRelationshipHow long have you known this person? Volunteer ExperienceVolunteer ExperienceOrganization NameRoleDates Volunteer ExperienceOrganization NameRoleDates Volunteer ExperienceOrganization NameRoleDates Have you ever been accused of physically, sexually, or emotionally abusing a child or an adult?*If yes, please explain.Have you ever been convicted of, or pled guilty to, or pled no contest to a crime other than a minor traffic violation?*If so, please explain. Acknowledgment, Release, and SignatureAcknowledgement and Electronic Signature: I have read and understand these provisions. I agree that all of my answers are true and my electronic signature serves as a substitute for a written signature and acknowledgement of policies.*To the best of my knowledge, the information contained in this application is complete and accurate. I understand that providing false information is grounds for not hiring me or for my discharge if I have already been hired. I authorize any person or organization whether or not identified in this application, to provide any information concerning my previous employment, education, credit history, driving record, criminal conviction record, sexual offender registry or other qualifications for my employment. I also authorize St. Martin's Episcopal Church, St. Martin's Episcopal Preschool, and the Episcopal Diocese of Texas to request and receive such information. I hereby release St. Martin's Episcopal Church, St. Martin's Episcopal Preschool, The Episcopal Diocese of Texas, my former employers, and all other persons from any and all claims, demands, or liabilities arising out of, or in any way related to, such disclosures. If hired, I agree to be bound by The Episcopal Diocese of Texas' policies and procedures, including but not limited to the Diocesan Policies for the Protection of Children and Youth from Abuse, the Code of Conduct for the Protection of Children and Youth, and such other policies as may be required by St. Martin's Episcopal Preschool. I acknowledge that, prior to or during my employment, St. Martin's Episcopal Preschool may require any legal testing and/or examination, including, but not limited to medical, physical, drug and/or alcohol, psychological, and skill and aptitude. I also understand that my employment, or any offer or acceptance of employment, may be terminated at any time, with or without cause, and with or without prior notice at the option of St. Martin's Episcopal Preschool or myself. Nothing contained in this application or in any pre-employment communication is intended to or does create between myself and St. Martin's Episcopal Church or The Episcopal Diocese of Texas for either employment, volunteering or any other benefit. This employment of an "at will" relationship will remain in effect throughout my employment with St. Martin's Episcopal Preschool and may not be modified by any oral or implied agreement.Date NameThis field is for validation purposes and should be left unchanged.