Kingdom Purpose 
"Teach One Reach One Inc. Private School "

   "A Safe Haven For Our Youth"

Kingdom Purpose Teach One Reach One Inc.


EMPLOYMENT APPLICATION 

  

Please complete the entire application. 

  

1. Employer Information 

  

Employer: Kingdom Purpose Teach One Reach One Inc  

Address: 2702 east 7 ave 

City/State/ZIP: Tampa , Florida 33605 

Phone: 813-645-9414 

  

It is the policy of Kingdom Purpose Teach One Reach One Inc to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status. 

  

2. Applicant Information 

  

Applicant Full Name: ___________________________________________ 

Home Address: ___________________________________________ 

City/State/ZIP: ___________________________________________ 

Number of years at this address: _________ 

Daytime phone:____________________Evening phone: ____________________  

Mobile phone: ____________________  

Social Security Number: ___________________________ 

Driver's License (State/Number): ___________________________ 

  

3. Emergency Contact 

  

Who should be contacted if you are involved in an emergency? 

Contact Name: ___________________________________________ 

Relationship to you: ___________________________________________ 

Address: ___________________________________________ 

City/State/ZIP: ___________________________________________ 

Daytime phone:____________________Evening phone: ____________________  

  

4.Job Position Applied For:____________________________________ 

 Full or Part Time? ____________________________________ 

  

5. Who referred you to our company? ______________________________________ 

  Do you have any friends or relatives who work here? If yes, please list here: 

  ___________________________________________________________ 

  

6.Are you at least 18 years old?______ Yes ______ No 

  

7. How will you get to work? _____________________________________ 

  

8. Are you willing to work any shift, including nights and weekends? _____ Yes _____ No 

If no, please state any limitations: 

________________________________________________ 

  

9. If applicable, are you available to work overtime? _____ Yes _____ No 

  

10. If you are offered employment, when would you be available to begin work? 

____________________________________ 

  

11. If hired, are you able to submit proof that you are legally eligible for 

employment in the United States? _____ Yes _____ No 

  

12. Are you able to perform the essential functions of the job position you seek with 

or without reasonable accommodation?______ Yes ______ No 

  

What reasonable accommodation, if any, would you request? 

________________________________________________ 

  

13. Applicant's Skills 

  

Check those skills that you have. List any other skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.) 

  

  Ability or 

 Skill Years of Experience Rating 

[ ]Typing__________________ 1 2 3 4 5 

[ ]Microsoft Office Suite (Word, Excel, etc.)__________________ 1 2 3 4 5 

[ ]Accounting/Bookkeeping__________________ 1 2 3 4 5 

[ ]Answering telephones__________________ 1 2 3 4 5 

[ ]Filing__________________ 1 2 3 4 5 

[ ]Customer service__________________ 1 2 3 4 5 

[ ]Education , Mentoring , Coaching __________________ 1 2 3 4 5 

[ ]Food Service, Cafeteria __________________ 1 2 3 4 5 

______________________________________________ 1 2 3 4 5 

______________________________________________ 1 2 3 4 5 

  

14. Applicant Employment History 

  

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application. 

  

Employer Name: ___________________________________________ 

Supervisor Name: ___________________________________________ 

Address: ___________________________________________ 

City/State/ZIP: ___________________________________________ 

Job Duties: ___________________________________________ 

Reason for Leaving: ___________________________________________ 

Dates of Employment (Month/Year): _____________________________ 

  

Employer Name: ___________________________________________ 

Supervisor Name: ___________________________________________ 

Address: ___________________________________________ 

City/State/ZIP: ___________________________________________ 

Job Duties: ___________________________________________ 

Reason for Leaving: ___________________________________________ 

Dates of Employment (Month/Year): _____________________________ 

  

Employer Name: ___________________________________________ 

Supervisor Name: ___________________________________________ 

Address: ___________________________________________ 

City/State/ZIP: ___________________________________________ 

Job Duties: ___________________________________________ 

Reason for Leaving: ___________________________________________ 

Dates of Employment (Month/Year): _____________________________ 

  

15. Applicant's Education and Training 

  

College/University Name and Address 

____________________________________________________________ 

Did you receive a degree?______ Yes _____ No If yes, degree(s) received: ___________ 

  

High School/GED Name and Address 

____________________________________________________________ 

Did you receive a degree?______ Yes _____ No 

  

Other Training (graduate, technical, vocational): 

____________________________________________________________ 

  

Please indicate any current professional licenses or certifications that you hold: 

____________________________________________________________ 

  

Awards, Honors, Special Achievements: 

____________________________________________________________ 

  

Military Service: 

______ Yes _____ No 

Branch: ___________________________________________  

Specialized Training: ___________________________________________ 

  

16. References 

  

List any two non-relatives who would be willing to provide a reference for you. 

  

Name: ___________________________________ 

Address: ___________________________________ 

City/State/ZIP: ___________________________________ 

Telephone: _______________________ 

Relationship: _______________________ 

  

Name: ___________________________________ 

Address: ___________________________________ 

City/State/ZIP: ___________________________________ 

Telephone: _______________________ 

Relationship: _______________________ 

  

17. Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer: 

  ____________________________________________________________ 

  ____________________________________________________________ 

  

CERTIFICATION 

  

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. 

  

I authorize Kingdom Purpose Teach One Reach One Inc to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. 

  

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Kingdom Purpose Teach One Reach One Inc, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship. 

  

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS. 

  

  

  

____________________________________ _______________ 

APPLICANT SIGNATURE DATE