UCAN Employee Application

Applicant's Name:
Date:

Month Day Year
Date
Address:
Telephone Number:
Have you ever worked or attended school under another name? If so, under what name?
Position:
Start date available:

Month Day Year
Date
How did you learn about this opening?
High School:
Graduated?

Yes
No

No
Technical School?
Graduate?

Yes No
College?
Course of Study:
Graduate?

Yes? No?
Post-Graduate Education?
Course of Study
Graduate?

Yes? No?
Other education, training or special skills:
Skills
Are you experienced using personal computers?

Yes No PC MAC
Other skills?
Work Experience

Please list all previous employment, beginning with the most recent. If you need more room you may attach another sheet of paper.
Employer 1:
Address:
Start Date:

Month Day Year
Date
End Date:

Month Day Year
Date
Position Held:
Reason for Leaving:
Supervisors Name and Title:
May we contact?

Yes? No
Description of Duties:
Sarting Compensation:
Final Compensation:
Employer 2:
Address:
Start Date:

Month Day Year
Date
End Date:

Month Day Year
Date
Position Held:
Reason for Leaving:
Supervisor's Name & Title:
May We Contact?

Yes No
Description of Duties:
Starting Compensation:
Final Compensation:
Employer 3:
Address:
Start Date:

Month Day Year
Date
End Date:

Month Day Year
Date
Position Held:
Reason for Leaving:
Supervisor's Name & Title:
May we contact?

Yes? No?
Description of Duties:
Starting Compensation:
Final Compensation:
References

Identify three persons who know your work, beginning with the most recent.
Name 1:
Phone Number:
Email:
Address, City, State:
Relationship:
Years Known:
Name 2:
Phone Number:
Email:
Address, City, State:
Relationship:
Years known?
Name 3:
Phone Number:
Email:
example@example.com
Address, City, State:
Relationship:
Years Known?
Authorization and Acknowledgements
I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge.

I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or

liabilities arising out of or in any way related to such inquiry or disclosure.
Aplicant's Signature

Clear
Date

Month Day Year
Date
Statement of Faith
We believe the Holy Bible to be the inspired, only infallible, authoritative

Word of God. . We believe that there is one God, eternally existent in three persons: Father,

Son and Holy Spirit. . We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His

sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory. We believe that for the salvation of lost and sinful people, regeneration by

the Holy Spirit is absolutely essential. . We believe in the present ministry of the Holy Spirit by whose indwelling

the Christian is enabled to live a godly life.

• We believe in the resurrection of both the saved and the lost; they that are

saved unto the resurrection of life and they that are lost unto the resurrection

of damnation.

• We believe in the spiritual unity of believers in our Lord Jesus Christ.
Operations Support Staff

Job Description
Position: Operations Support Staff (PT 8-35 hours)

Reports to: Executive Director-Program Director-Administrative Assistant

Purpose of Position: To assist Administration with shelter operations, and provide supervision and care for the overnight guests at UCAN City Mission

Duties and Responsibilities:

• Advocates for the mission of UCAN and upholds the agency's values.

• Ensure guests are complying with Mission rules, regulations, and responsibilities.

• Delivers services with safety, respect and effectiveness.

• Assess guest's needs and offer assistance in every manner practical.

• Monitors guest behavior. Follows all policies and procedures of the organization.

• Completes proper intake procedures, and reviews policy & guidelines with guest at time of entrance.

• Prepare rooms for guests. Facilitates sleeping arrangements and storage of personal items.

• Monitors and maintains shower and laundry schedules.

• Maintains order and assists in keeping all assigned areas clean and free of spills,

trash, and safety hazards.

• Checks daily activities and chores as assigned to guests.

• Perform daily meal and occupancy counts.

• Perform daily room checks.

• Prepare intake packages.

• Receive and put away donations on your shift.

• Assist in room cleanings and house laundry.

• Perform other duties as assigned by the executive director or program manager.

• Complete all activity logs and incident reports in a timely manner.

• Provide immediate and professional response to any security /safety emergency or

disturbance within or immediately outside facility.

Education and Experience:

• High School Diploma or G.E.D. required.

• Experience in the Human Services or related field preferred.

Knowledge, Skills, and Abilities:

• Be a Christian able to clearly communicate the Gospel as opportunities during the work day arise.

• Bi-Lingual in Spanish a plus.

• Ability to work in a fast paced environment. Ability to work well on a team. Must work well under pressure.

• Excellent customer service skills. Able & willing to de-escalate people or situations, both verbally and physically.

• Committed to working with the homeless and disconnected population.

• Must be flexible. Ability to multi task.

• Ability to maintain confidentiality in all aspects of the work environment.

• Requires verbal and numerical intelligence.

• Basic computer knowledge.

• Must possess a high degree of common sense and decision making skills.

• Must be empathetic and caring.

Physical demands and work environment:

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Physical demands: Sitting, walking, lifting up to 20 pounds, reaching, carrying, speaking, listening

• Work environment: An environment of high stress and fast pace of crisis intervention. Protocol for safety and security is a priority. Use of phones, in person assistance, computer and other general office machinery.
Signature

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Date

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Date
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Work Experience

References

Authorization and Acknowledgements

Statement of Faith

Operations Support Staff