employment application for jmumc

Application Date
Name Called
Apt#
How Long?
Zip Code
Alternate Phone#
How Long?
First Name
Jones Memorial United Methodist Church

Employee Information
Birth Date
MI
Social Security Number
Street Address
St
City
Home Phone#
Previous Address
Position you are applying for
Please specify any days or hours you would be unwilling to work?
TemporaryPlease specify any days or hours you would be unwilling to work? Part Time Full TimeHow Long?If yes, specify name(s) and department(s)
Pay desired?
Do you have any relatives employed by JMUMC?
Other (Trade, Business)
Professional License/Certifications
Last Name
How were you referred to JMUMC?Have you previously worked for JMUMC? Yes

Other(Trade,Business)Professional License/Certifications
Professional Societies, Memberships and Offices held
NoAre you willing to travel ifNoDo you have any relatives employed by JMUMC? YesIf yes, please list all applications you have experience or training in.Norequired? YesNoComputer Experience? Yes
NoHave you ever had a license (driver's, teaching, medical or professional) suspended or revoked by a professional body or state agency? No YesEmployee HistoryDo you have knowledge of a physical or mental condition which would, should you be hired, affect your ability to perform duties andAre you a US Citizen or have the legal right to be employed in the US? YesNoIf yes, please explain the circumstancesOther than a minor traffic offense, have you ever been convicted of a crime, convicted of a drug/alcohol related offense or pleaded noloNo contendere in a criminal case? Yesresponsibilities of the position for which you are applying? YesDates employed Employment HistoryBegin with most recent employment. You may /attach supplemental resume but please ensure all questions on this application are completed. EmployerAre you over the age of 18? YesEmployment Application
than a minor traffic offense, have you ever been convicted of a crime, convicted of a drug/alcohol related offense or pleaded nolo
Dates employed
City/St/Zip
Responsibilities
Ending Pay
Starting Pay
Dates employed
City/St/Zip
Responsibilities
Ending Pay
Starting Pay
Dates employed
City/St/Zip
Responsibilities
Ending Pay
Starting Pay
Employer
Employer Address
Title
Supervisor
Reason for leaving
Employer
Employer Address
Title
Supervisor
Reason for leaving
Employer
Employer Address
Title
Supervisor
Reason for leaving
Phone

Country CodeArea CodePhone Number
Jones Memorial United Methodist Church
Denomination
Name of Church where you hold membership
Location
List church activities you participate in?
List positions in a church you have volunteered for, been appointed to or employed for
Address ReferencesList 3 references who have known you for at least 2 years and not a relative or former employee
Address
Years known
Address
Years known
Address
Years known
Employment Application
Name
Occupation
Name
Occupation
Name
Occupation
I submit that all the information provided to Jones Memorial United Methodist Church in support of my application foremployment is true and complete. I understand that false information and/or omission of information in support of myapplication are likely to disqualify me for employment or subject me to immediate termination at any time during employment.I authorize JMUMC to verify all information regarding my application with the appropriate individuals, companies, institutionsor agencies. I authorize them to release records or summaries thereof without any obligation to provide me written notice ofsuch disclosure. I will hold JMUMC and any such persons or entities harmless from any liability whatsoever as a result of such disclosures.
JMUMC will conduct a background check. Under our policy, past convictions may or may not disqualify you from a volunteer or staff position. The decision will be made very carefully, considering the position you are applying for and the facts of theconviction. Your failure to disclose any past convictions prior to JMUMC conducting the background check will disqualify you
from obtaining employment with JMUMC.
I understand that JMUMC is an 'at will' employer and that employment may be terminated at any time with or without cause. This status cannot be altered unless we enter a contract that specifically addresses and replaces the 'at will' employmentstatus.
Should be Empty:

Jones Memorial United Methodist Church

Address ReferencesList 3 references who have known you for at least 2 years and not a relative or former employee

Employment Application

from obtaining employment with JMUMC.

I understand that JMUMC is an 'at will' employer and that employment may be terminated at any time with or without cause. This status cannot be altered unless we enter a contract that specifically addresses and replaces the 'at will' employmentstatus.