OBHC Application for Employment

Application for Employment

Home Office (OKC) • Baptist Children’s Home (Owasso) • Baptist Home for Girls (Madill) • Boys Ranch Town (Edmond) • The Vine (OKC) • Hope Pregnancy Center (Alva/NW OK) • Hope Pregnancy Center (Ardmore) • Hope Pregnancy Center (Edmond) • Hope Pregnancy Center (North OKC) • Hope Pregnancy Center, Mobile Unit (OKC Metro) • Hope Pregnancy Center (Shawnee) • Hope Pregnancy Center (South OKC) • Hope Pregnancy Center (Tulsa)
Date of Submission*

MonthDayYear
Personal Information
Name*

FirstMiddleLast
Address*

Street or Mailing Address

Apartment/Unit Number

CityState

Zip CodeCountry
Email Address*
example@example.com
Cell Phone*
Please enter a valid phone number.
Position Applied For*
Applicant must specify the particular position.
Location*
Position location (campus or center + city or town
Would you consider a position elsewhere?*

YesNo
Which other locations?

AlvaArdmoreMadillOklahoma CityOwassoEdmondShawneeTulsa
How did you hear about this position?*

Current OBHC EmployeeWebsite/Online AdOther
Please provide OBHC employee name.
Please provide website/ad location.
Please describe other location.
Are you legally eligible for employment in the United States? *

YesNo
(Proof of United States citizenship or immigrant status will be required upon employment.)
Are you at least 21 years of age?*

YesNo
(This is applicable when applying for a position allowing unsupervised access to children.)
Have you ever been convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor?*

YesNo
Give nature of offense, name and location of court and the penalty or disposition of the case or cases.
Do you drink alcoholic beverages?*

YesNo
Do you use tobacco products?*

YesNo
Do you have a current driver’s license?*

YesNo
License Number
Enter your current driver's license number.
State
Enter the state that issued your current driver's license. (e.g.: OK, TX)
Have you been convicted of a traffic offense in the past five (5) years?*

YesNo
Give the nature of the offense, the name and location of the court and the penalty or disposition of the case:
(A prior conviction is not an automatic restriction to employment; however, a poor driving record may affect employment eligibility with OBHC when driving is a part of the position’s responsibilities.)
Marital Status*

SingleEngagedMarried
Date of Marriage

MonthDayYear
Date
Are you applying for a houseparent or family advisor position?*

YesNo
Do you have any children?

YesNo
List the names and ages of your children and indicate whether they are living with you.
Education

Education Details*

	School Name	Location	Number of Years Attended	Field of Study/Major	Degree Earned
High School
College
Graduate
Vo-Tech
Other

Additional job-related seminars, short courses, workshops, or other educational experiences, if any:
Additional job-related special training, specialized licensing, special skills, or noteworthy achievements, if any:

Computer Skills | Level of Competency*

	Basic Knowledge	Intermediate Level	Advanced / Professional
Computer Operation
Microsoft Word
Excel
Power Point
Access
Outlook
Photoshop

Other Computer Programs:
Church History
Are you a Christian?*

YesNo
Where is your church membership?
What church responsibilities have you had?
At this time, in what way(s) are you involved in your church activities?
Pastor's Name

First NameLast Name
Pastor's Phone
Please enter a valid phone number.
Pastor's Address

Street or Mailing Address

Street Address Line 2

CityState

Zip CodeCountry
What other pastor could recommend you?

First NameLast Name
Other Pastor's Phone
Please enter a valid phone number.
Please list previous churches attended:
References

(Omit names of relatives or pastors previously listed.)
Personal References*
Work References*
Employment Record

(Please give accurate, complete full-time and part-time employment history, including any military service. Start with your present or most recent employer.)

#1 Current Employer
Permission to contact current employer?*

YesNo
Employer*
Phone Number*
Please enter a valid phone number.
Address*

Street or Mailing Address

Street Address Line 2

CityState

Zip CodeCountry
Job Title(s)*
Immediate Supervisor*
Description of Your Work*
Reason for Leaving*
Employed from:*

MonthDayYear
Starting Date
Employed to:*

MonthDayYear
Ending Date
Starting Salary*
Ending Salary*

#2 Employer
Employer*
Phone Number*
Please enter a valid phone number.
Address*

Street or Mailing Address

Street Address Line 2

CityState

Zip CodeCountry
Job Title(s)*
Immediate Supervisor*
Description of Your Work*
Reason for Leaving*
Employed from:*

MonthDayYear
Starting Date
Employed to:*

MonthDayYear
Ending Date
Starting Salary*
Ending Salary*

#3 Employer
Employer*
Phone Number*
Please enter a valid phone number.
Address*

Street or Mailing Address

Street Address Line 2

CityState

Zip CodeCountry
Job Title(s)*
Immediate Supervisor*
Description of Your Work*
Reason for Leaving*
Employed from:*

MonthDayYear
Starting Date
Employed to:*

MonthDayYear
Ending Date
Starting Salary*
Ending Salary*

End of Employers
Have you ever worked under a different name for any of these employers?*

YesNo
Please identify the employer and state the different name.
Have you been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?*

YesNo
Give the nature of the offense, the name and location of the court and the penalty or disposition of the case(s) and name of probation officer if you are now on probation.
A prior conviction may not be a restriction to employment.
Add Resume (optional)

You may upload up to two documents, 3 MB max. File types accepted: pdf, docx, doc, txt, rtf
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Should be Empty:

Application for Employment

Personal Information

Education

Church History

References

Employment Record