Employment Application
| ABC Community Church
Employment Application |
||
| Personal Information | ||
| First Name: | Middle Name: | Last Name: |
| Social Security Number: | ||
| Street Address: | City: | State: Zip: |
| Home Phone: | Cell Phone: | |
| Are you eligible to work in the United States? Yes No
You will be required to show proof of eligibility upon employment. |
||
| Position Information | ||
| Available Start Date: | Job Status Availability: Full-Time Part-Time | |
| Have you ever worked for ABC Church? Yes No If yes, when? | ||
| Have you ever applied for a job at ABC Church? Yes No If yes, when? | ||
| Have you ever been convicted of a crime? Yes No
If yes, please explain? |
||
| Work History – Starting with most recent employer. | ||
| Employer: | Address: | Phone Number: |
| Supervisor’s Name: | May we contact? Yes No | |
| Start Date:
End Date: |
Starting Salary:
Ending Salary |
|
| Describe job responsibilities:
|
||
| Reason for leaving:
|
||
| Employer #2 | ||
| Employer: | Address: | Phone Number: |
| Supervisor’s Name: | May we contact? Yes No | |
| Start Date:
End Date: |
Starting Salary:
Ending Salary |
|
| Describe job responsibilities:
|
||
| Reason for leaving: | ||
| Employer #3 | ||
| Employer: | Address: | Phone Number: |
| Supervisor’s Name: | May we contact? Yes No | |
| Start Date:
End Date: |
Starting Salary:
Ending Salary |
|
| Describe job responsibilities:
|
||
| Reason for leaving:
|
||
| Education | ||
| High School: | Address | City State Zip |
| Did you graduate? Yes No | Diploma/Major | |
| Technical/Trade School Name: | Address | City State Zip |
| Did you graduate? Yes No | Diploma/Major | |
| College Name: | Address | City State Zip |
| Did you graduate? Yes No | Diploma/Major | |
| Graduate School: | Address | City State Zip |
| Did you graduate? Yes No | Diploma/Major | |
| Personal References: (no relatives or former employers) | ||
| Name: | Occupation: | Relationship: |
| Address: | Phone Number: | Years Known: |
| Name: | Occupation: | Relationship: |
| Address: | Phone Number: | Years Known: |
| Name: | Occupation: | Relationship: |
| Address: | Phone Number: | Years Known: |
| I certify that I have answered these questions to the best of my knowledge and understand that any false information on this application may be grounds for termination.
I authorize ABC Church to contact references and former employers to verify the information I have provided. I also release all parties from any liability that may result from providing this information. |
||
| Printed Name: | Signature: | Date: |