Heartlight Employment Application - Residential Staff

Basic Information

Full Name(Required)

Email(Required)

Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Do you have a current valid Driver's License?(Required)

Yes

Are you 21 years or older?(Required)

Yes

Are you legally eligible to work in the U.S.?(Required)

Yes

How did you hear about Heartlight?

Availability & Relocation

Are you willing to relocate to East Texas?(Required)

Yes

Are you currently employed?(Required)

Yes

If hired, when can you start?(Required)

Education & Training

Highest Level of Education Completed(Required)

Some High School

High School Diploma / GED

Associate Degree

Bachelor's Degree

Graduate / Professional Degree

Name of Most Recent School Attended(Required)

Did you graduate?(Required)

Yes

General Questions

It is our hope that our staff would be active in nature, loving and graceful in relationships, mature in responsibility, teachable in spirit, and genuine in friendships.

What makes you passionate about working with teens?(Required)

Describe your current relationship with Christ and how it impacts your daily life.(Required)

What do you believe is your greatest strength, and how do others typically describe you?(Required)

What do you believe is your greatest weakness, and how do others typically describe you?(Required)

How would you describe your relational style with both peers and teens? (e.g., outgoing or reserved, direct or gentle, follower or self-starter)(Required)

How do you typically respond to leadership, correction, or confrontation in the workplace?(Required)

Have you worked with teens before?(Required)

Yes

If yes: Where? Who can we contact to verify?

Describe your past experience in residential, ministry, or mentoring environments.(Required)

Have you worked in a residential/live-in setting before?(Required)

Yes

How do you spend your spare time?(Required)

What qualities would make you effective in this role?(Required)

Are you clean and organized in your personal habits and living environment?(Required)

Yes

Ministry Involvement & Future Goals

Have you been involved in any other ministries? If so, where and when?(Required)

Where do you see yourself in five years?(Required)

References

Reference #1

Name(Required)

Relationship(Required)

Email(Required)

Phone(Required)

# of years this person has known you(Required)

Reference #2

Name(Required)

Relationship(Required)

Email(Required)

Phone(Required)

# of years this person has known you(Required)

Reference #3

Name(Required)

Relationship(Required)

Email(Required)

Phone(Required)

# of years this person has known you(Required)

Records

Heartlight is required to do an FBI/Criminal History Background Check.

Have you ever been convicted of a felony?(Required)

Yes

If yes, please explain. Your answer will not necessarily exclude you from consideration.(Required)

Have you ever been denied car insurance?(Required)

Yes

If yes, please explain. Your answer will not necessarily exclude you from consideration.(Required)

For relocation purposes, are you married, engaged, or do you have any children/dependents? If yes, please explain:(Required)

Uploads & Signature

Please upload a recent photo of yourself(Required)

Drop files here or

Max. file size: 32 MB.

If you have a resume, please upload that here (not required for employment consideration)

Drop files here or

Max. file size: 32 MB.

Social Media Accounts

Platform

Username or URL

The work at Heartlight demands that you are in good mental health and have worked through the issues life has brought you, so that you can be an encouragement and help to those teens going through similar circumstances that you have faced. Is there anything that you would like to tell us that would be contrary of being in a good mental health state?(Required)

Heartlight performs drug tests on all new applicants and random tests on all staff. Would you be able to pass a drug test upon your entry to our Heartlight Team?(Required)

Is there anything else that we might need to know about you before we start the research protocol of getting into contact with references, calling former employers, and scouring your social media sites, so there are no surprises when Heartlight conducts its inquiry examination?(Required)

By typing my full name below, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employments and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is writing and signed by an authorized company representative.(Required)

Today's Date(Required)

Year