PaulAnn Church | Employment Application

PaulAnn Church | Employment Application
Equal Opportunity Employment statement

All applicants are considered for all positions without regard to race, color, sex, gender, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our church members, customers and employees and contributing to the success of the PaulAnn Baptist Church. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring accommodation to complete the application and/or interview process should contact a management representative.
Name*

First NameLast Name
What position are you applying for?*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Home Phone*
Mobile Phone
Date you are available to start:*

MonthDayYear
Date
Are you a member of PaulAnn Baptist Church*

YesNo
Briefly describe how and when you became a Christian and your current walk with the Lord.*

Education

Please describe your educational background in the table provided below.
Academic Achievements*
Continuing Education Completed*
Professional Organizations

Employment Experience

Please list the names of your present or previous employers in chronological order with the present or most recent employer listed first. Be sure to account for all periods of time. If self-employed, give firm names and supply business references. Please fill in information for your previous employers from the past five years.

Employer #1
Name of Employer*
Street Address*
Job Title*
Description of Job Duties*
Supervisor's Name

First NameLast Name
Company Phone Number
First Day of Employment

MonthDayYear
Date
Last day of Employment

MonthDayYear
Date
Reason for Leaving

Employer #2
Name of Employer
Street Address
Job Title
Description of Job Duties
Supervisor's Name

First NameLast Name
Company Phone Number
First Day of Employment

MonthDayYear
Date
Last day of Employment

MonthDayYear
Date
Reason for Leaving

Employer #3
Name of Employer
Street Address
Job Title
Description of Job Duties
Supervisor's Name

First NameLast Name
Company Phone Number
First Day of Employment

MonthDayYear
Date
Last day of Employment

MonthDayYear
Date
Reason for Leaving

Employer #4
Name of Employer
Street Address
Job Title
Description of Job Duties
Supervisor's Name

First NameLast Name
Company Phone Number
First Day of Employment

MonthDayYear
Date
Last day of Employment

MonthDayYear
Date
Reason for Leaving

Have you ever been involuntarily terminated or asked to resign from any job?

YesNo
If yes, please explain:
Please explain any gaps in your employment history:

Volunteer Experience

Please fill in information for up to 3 relevant volunteer positions you have held.

Organization #1
Volunteer Organization*
Responsibilities*
Supervisor's Name

First NameLast Name
Company Phone Number

Organization #2
Volunteer Organization
Responsibilities
Supervisor's Name

First NameLast Name
Company Phone Number

Organization #3
Volunteer Organization
Responsibilities
Supervisor's Name

First NameLast Name
Company Phone Number

Previous Church Attendance

Please fill in information for any churches you have attended in the last five years. Choose "Another Church" for any additional churches.

Church #1
Church Name*
City, State
Phone Number
Dates Attended

Church #2
Church Name
City, State
Phone Number
Dates Attended

Church #3
Church Name
City, State
Phone Number
Dates Attended

Business and Professional References

Please list three professional references of individuals who are not related to you.

Professional Reference #1
Name*

First NameLast Name
Relationship*
Daytime Phone*
Evening Number

Professional Reference #2
Name

First NameLast Name
Relationship
Daytime Phone
Evening Phone

Professional Reference #3
Name

First NameLast Name
Relationship
Daytime Phone
Personal References

Please list two personal references of individuals.

Personal Reference #1
Name*

First NameLast Name
Relationship and Years Acquainted*
Daytime Phone*
Evening Phone

Personal Reference #2
Name

First NameLast Name
Relationship and Years Acquainted
Daytime Phone
Evening Phone

Applicant Statement and Agreements

Please read and initial each paragraph below.
I hereby authorize PaulAnn Baptist Church to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the prior employers and references I have listed to disclose to the PaulAnn Baptist Church any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release PaulAnn Baptist Church, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
In the event of my employment with PaulAnn Baptist Church, I understand that I am required to comply with all rules and regulations of PaulAnn Baptist Church.
If hired, I understand and agree that my employment with PaulAnn Baptist Church is at-will, and that neither I, nor PaulAnn Baptist Church is required to continue the employment relationship for any specific term. I further understand that PaulAnn Baptist Church or I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that the at-will status of my employment cannot be amended, modified, or altered in any way by any oral modifications.
I understand that safety of employees is extremely important to PaulAnn Baptist Church and that PaulAnn Baptist Church is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my site supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health.
I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.
I understand that if any term, provision, or portion of this Agreement is declared void or unenforceable, it shall be severed and the remainder of this Agreement shall be enforceable.
MY SIGNATURE BELOW ATTESTS TO THE FACT THAT I HAVE READ, UNDERSTAND, AND AGREE TO ALL OF THE ABOVE TERMS. *
Date Signed:*

MonthDayYear
Date
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PaulAnn Church | Employment Application

Education

Employment Experience

Volunteer Experience

Previous Church Attendance

Business and Professional References

Personal References

Other Information

Applicant Statement and Agreements