Kimber Hills Preschool - 39700 Mission Blvd Fremont, CA 94539 - (510) 651-5437

Career Application

Preschool Teaching Application

Employment Form

General Information

Knowledge & Experience

Please identify years of experience you have with the following:


Start with the most recent institution

Work History

Start with the most recent job.


Please provide complete reference information. Omitted information may delay your application process.
❖ Give three references who are qualified to speak of your professional training and experience.
❖ List your current or most recent supervisor first.

Professional References:

Personal References:

❖ Give three references who are qualified to speak of your spiritual experience and Christian service.
❖ List your current Pastor first.

Statement of Faith


Please read the following carefully and prayerfully before you sign one of the responses at the bottom of the page.

Fremont Community Church is interdenominational in its attitude and emphasis. Both the church and the school stand firmly on the changeless word of God as expressed in the following statement of historic evangelical Christianity. The following Statement of Faith is the doctrinal basis for all our religious teaching.

1. We believe the Bible to be the inspired, the only infallible, authoritative Word of God. (II Timothy 3:16, II Peter 1:21)
2. We believe that there is one God, eternally existent in three persons: Father, Son and Holy Spirit. (Genesis 1:1, Matthew 28:19, John 10:30)
3. We believe in the deity of our Lord Jesus Christ (John 10:33); in His virgin birth (Isaiah 7:14, Matthew 1:23, Luke 1:35); in His sinless life (Hebrews 4:15); in His miracles (John 2:11); in His vicarious atoning death through his shed blood, in His bodily resurrection (John 11:25, I Corinthians 15:4); in His ascension to the right hand of the Father (Mark 16:19); and in His personal return to power and glory (Acts 1:11, Revelation 19:11).
4. We believe that for the salvation of lost and sinful man, regeneration by the Holy Spirit is absolutely essential. (John 3:16-19, John 5:24)
5. We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly, victorious life. (Romans 8:13-14; I Corinthians 3:16, 6:19-20; Ephesians 4:30, 5:18)
6. 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. (John 5:28-29)
7. We believe in the spiritual unity of believers in our Lord Jesus Christ. (Romans 8:9, I Corinthians 12:12-13, Galatians 3:26-28)



1. LICENSEE: See below.
2. THE INDIVIDUAL COMPLETING THE STATEMENT: As a condition of your employment or presence in a community care facility, state law requires that you be fingerprinted and complete this affidavit.


I declare under penalty of perjury that I have read and understand the information contained in this affidavit and that my responses and accompanying attachments are true and correct.



1. Licensees shall, prior to date of employment or first day in the facility, have all persons subject to fingerprint requirements*:
a. fingerprinted
b. complete an affidavit on prior criminal record history
2. If the person(s) voluntarily discloses a history of criminal record convictions, the licensee shall review the person’s attached statement indicating nature and circumstances of the conviction(s) and discuss with the licensing evaluator.
3. The licensee shall forward Fingerprint Forms with fee(s), if any, to the licensing agency within 20 days of the person’s employment or initial presence in the facility.


1. Applicant(s) for a license. If the applicant(s) is a firm, partnership, association or corporation, the Chief Executive Officer or person in like capacity (i.e. President or Chairman of the Board).
2. Adults responsible for administration or direct supervision of staff.
3. Any adult, other than a client, residing in the facility.
4. Any adult who provides client assistance in dressing, grooming, bathing or personal hygiene.
5. Any staff person or employee who has frequent and routine contact with the clients. The following individual may be exempt from the fingerprinting requirements even though they hay have frequent and routine contact with clients:
a. Volunteers are exempt from the fingerprint requirements unless the volunteer is used to replace or supplement staff in providing direct care and supervision of clients.
b. Staff and employees under direct on-site supervision who do not provide direct care and supervision or that have only intermittent contact with clients are exempt.
(1) Direct on-site supervision shall be defined as supervision by an immediate supervisor who is located on the facility premises where clients are housed or provided care. In determining who has frequent and routine contact, consider the duties of the employee or volunteer and the type and degree of contact with the clients and discuss with the licensing evaluator.
6. Staff members of rehabilitation facilities except those specified in 1, 2, and 3 above are exempt, unless the facility serves any minors with alcohol or drug abuse problems.