EMPLOYMENT INFORMATION

Thank you for considering employment at Berean Christian Church.

Berean Christian Church is committed to Worship, the Word and Witnessing. We are seeking individuals to help us fulfill our mission and advance the Kingdom of God.

Berean Christian Church is an Equal Opportunity Employer. It is our preference to empower and employ active members of Berean, although all applications and resumes will be considered.

CURRENT JOB OPENINGS

MAINTENANCE TECH II

JUNIOR FINANCE ACCOUNTANT III

FINANCE ACCOUNTANT ASSISTANT

BEREAN CHRISTIAN CHURCH FORM

STAFF: Self-Screening Certification

STAFF: COVID-19 Self-Certification and Health Screening Form

Berean Christian Church (Berean) is committed to providing a safe working environment for our staff. In effort to continue safe practices, please actively self-monitor your health and complete this Self-Certification and Health Screening Form (Certification) 1 hour before you begin work each day. This daily Certification requires that you perform the following:
A. Record your body temperature (must be less than 100.4 F);
B. Certify that you do not have any symptoms of illness; and
C. Certify that you have not experienced any exposure related to COVID-19.
If you are unable or unwilling to complete this Certification, you will not be permitted to work on site. If you are unable or unwilling to complete this Certification but believe circumstances warrant you being permitted to continue to work on site, you should contact Human Resources (HR) prior to entering any of Berean facilities.

Name:*
I,__________, knowingly, freely, and voluntarily consent to the collection of my temperature, COVID-19 related symptoms and COVID-19 related exposure by Berean Christian Church (BCC) Human Resources.
First Last

A. Temperature Screening:
Date:*
Time:*
: HH
MM
Temperature Reading:*
Thermometer Type:*
Please indicate thermometer type.
- Digital
- Non-Contact Infrared
- Oral
Assessor:*
(Person who performed your temperature check.)
- Self

B. COVID-19 Related Symptoms: In the past 14 days, I HAVE NOT experienced the following symptoms:
- Fever or Chills
- Cough
- Fatigue
- Nausea or vomiting
- Sore throat
- Headache
- Muscle or body aches
- Diarrhea
- Shortness of breath or difficulty breathing
- New loss of taste or smell
- Congestion or runny nose
- All other symptoms reported by CDC

C. COVID-19 Related Exposure:
1. In the past 14 days, I HAVE NOT had any member of my household, any person for whom I provide care, or any intimate partner been diagnosed with or believed to have COVID-19.
2. In the past 14 days, I HAVE NOT been within approximately 6 feet of a person confirmed or believed to have COVID-19 for a few minutes or more.
3. In the past 14 days, I HAVE NOT had direct contact with the bodily secretions of anyone diagnosed with or believed to have COVID-19 (e.g. being coughed on, touching used tissues with a bare hand, sharing food or drink, etc.).
4. In the past 14 days, I HAVE NOT traveled outside the state, excluding commuting from a home location outside of the state, and in particular internationally.

D. Staff Certification - please check the appropriate field:*
- I certify that the above temperature reading and statements are true for me on this date.
- I am unable to certify that the above statements are true for me on this date.

IMPORTANT NOTE: If you are unable to certify that the above statements are true, please explain in the comments section below and submit the completed form to HR@bereanchristianchurch.org.
Comments:
Name*
First Last
Acknowledgement: I understand that all information collected from me will be kept confidential in the Human Resources Department. This Certification is not a medical diagnosis of COVID-19 and I am not being advised to consult a health care provider or to seek COVID-19 testing unless due to an emergency. My Certification results are solely to determine whether I may report to the worksite.
By using the submit button below, I hereby acknowledge and agree that I have executed this form by electronic signature, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature. I understand and agree that I have a right to request and submit a paper copy of this form instead. I understand that I waive such right if I submit this form via electronic transmission. I also understand that I may receive a paper copy of my electronic submission upon my written request to HR@bereanchristianchurch.org.

Employment Information

EMPLOYMENT INFORMATION

CURRENT JOB OPENINGS

BEREAN CHRISTIAN CHURCH FORM

STAFF: COVID-19 Self-Certification and Health Screening Form

A. Temperature Screening:

B. COVID-19 Related Symptoms: In the past 14 days, I HAVE NOT experienced the following symptoms:

C. COVID-19 Related Exposure:

IMPORTANT NOTE: If you are unable to certify that the above statements are true, please explain in the comments section below and submit the completed form to HR@bereanchristianchurch.org.

BEREAN CHRISTIAN CHURCH