APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT

Applications are received and employees are hired without regard to race, color, ancestry, sex, age, national origin, marital status, veterans status, citizenship status, and individuals with a disability or any other characteristic protected by Federal, State, or Local law, unless such basis constitutes a bonafide occupational qualification.
- Name
  
  First NameMiddle NameLast Name
- Present Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- How long have you lived at the above address?
- Previous Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- How long did you live there?
- Phone Number
  
  Area CodePhone Number
- Email Address
  example@example.com
- Are you over the age of 18?
- Are you legally eligible for employment in the United States? If offered employment, you will be required to provide documentation to verify eligibility.
- Position applying for
- Date available to work
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit year
- What salary/hourly rate do you expect?
- How were you referred to employment with us?
- Have you ever been convicted of any crime other than a minor traffic violation?
- If yes, state date, court and place where offense occured.
- Have you ever been discharged or requested to resign from a position?
- If yes, explain
- Schooling (click all that apply)
- Describe specialized or professional training.
- High School
- Trade, Business or Correspondence
- College
- Graduate School or Seminary
- If any employment below was under a different name, please indicate other name:
- Start with most recent or present employer. You may include job related military service assignments and volunteer activities that reflect your qualifications for employment.
- May we contact the employer(s) listed above?
- If not, indicate which one(s) you do not wish us to contact.
- Configurable list
- Do not list relatives or previous supervisors, co-workers are preferable.
- Name
  
  First NameLast Name
- Relationship
- Years known
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Occupation
- Name
  
  First NameLast Name
- Relationship
- Years known
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Occupation
- Name
  
  First NameLast Name
- Relationship
- Years known
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Occupation
- I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation, or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered. You are hereby authorized to make any investigation on my personal history and financial and credit record through any investigative or credit agencies or bureaus of your choice in compliance with applicable laws or statutes.
  
  I understand that employment at Mount Pleasant Christian Church is “at will,” and includes no guarantee, contract, or promise of employment for any specified length of time, and is terminable at any time and for any reason by Mount Pleasant Christian Church or by me.
  
  I authorize the use of any information in this application and any attached supplements to verify my statements, and
  I authorize the past employers, schools, churches, all references, and any other persons or organizations, whether or not identified in this application, to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any and all liability or damages on account of having furnished
  such information.
  
  I believe I can perform the essential functions of the position for which I am applying. (If you have any questions about what functions are applicable to the position, please ask the interviewer before you sign the statement.)
- Signature of Applicant
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit year
- Should be Empty: