Employment Application

In completing this Employment Application, I understand, represent, and agree that:

Midway Church’s (hereafter referred to as the Church) acceptance of this completed form does not mean that a position for which I am qualified is open. Completion of this form in no way creates a contract between the Church and me. As part of its procedure for processing this form or evaluating me for employment purposes, the Church may obtain an investigative report including information gathered through personal interviews with third parties such as prior employers, family members, business associates, and other individuals with whom I am acquainted.

I consent to Midway Church, Aubrey, TX and/or it’s agents to make an independent investigation of my background that my include: references, character, general reputation, personal characteristics, (whichever may be applicable), past employment, education, credit history (if applicable for the position), adult criminal, criminal history or police records, and motor vehicle records including those maintained by both public and private organization and all public records for the purpose of confirming the information contained on my Application and/or obtaining other information which may be material to my qualifications for employment/service now and, if applicable, during the tenure of my service with Midway Church.  I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation.  These searches will be conducted by Verified First, 1550 South Tech Lane, Suite 200, Meridian, Idaho 83642; Tel. #888.670.9564; www.verifiedfirst.com.

I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me to the Church or its agents.  I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, including information or data received from other sources.

Medical and worker’s compensation information will only be requested in compliance with the Federal Americans with Disabilities Act (ADA) and/or any applicable state laws.

I hereby release the Church, the Social Security Administration, and its agents, officials, representatives, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability or damages of whatever kind, which may, at any time, result to me, my heirs, executors or representatives because of compliance with this authorization and request to release.

I have received a copy of the Summary of Rights under the Fair Credit Report Act.  I understand that I am entitled to know if I am denied a position because of information obtained by the Church from a consumer reporting agency.  If so, I will be notified and given the name and address of the agency or the source which provided the information.

I understand that I have the right to revoke the authorization at any time, provided I do so in writing.

By signing this form, I authorize the Church to request and obtain the information described above.  Further, I release the Church, its affiliates, related entities, agents, employees, and officers (collectively referred to as “the Church”) and all prior employers or references and record custodians from any claim or liability whatsoever arising out of such a request or any information disclosed in response thereto, and I agree not to bring any action or assert any claim against the Church or such prior employers or references on account thereof.

A photocopy or facsimile of this authorization shall be valid as the original.  I understand that the ability to be bonded may be a condition of hire for some positions.  I understand that my providing of false or misleading material information or my failure to state material facts either in this form or in any interviews, no matter when discovered, will result in the immediate termination of any position offered to me by the Church.

 *NOTE:  The above information is required for identification purposes only and is in no manner used as qualifications for employment, internship, or service as a volunteer.  Midway Church abides by all applicable state and federal employment laws.

I, (Applicant) understand that any false answers or statements made by me on this application or any supplement thereto, or any false statements made to the representative(s) of Midway Church (the “Church”) during the interview process will be sufficient grounds for not hiring me or immediately discharging me, no matter when discovered.

I understand and agree that if I am offered employment with the Church, such employment shall be “at will” in that my appointment is for no definite period and may, regardless of the date of payment of my wages or salary, be terminated by either party at any time without previous notice or cause and is subject to change in wages, conditions, benefits, and operating policies.

I hereby waive any and all rights or claims I may have against the Church, its agents or employees, arising out of, or resulting from the release, authorized or unauthorized, of the information received pursuant to or in connection with the Church’s handling, processing, or investigation of my application with the Church.

I agree that if I am employed by the Church, in the future a potential employer may contact the Church or its representatives concerning my work record and my work performance at the Church.  I hereby consent to and authorize persons employed by the Church to divulge any and all information they consider relevant to any person representing themselves to be an employer or potential employer of mine with respect to my work and/or performance of my job at the Church.

I understand that if I receive an offer of employment, if requested, I may be required to participate in the analysis for the detection of the use of illegal drugs or substances.  I understand that my inability to perform the essential functions of the job, with or without reasonable accommodation, due to my physical or mental condition, could prevent my employment or continued employment by the Church.

I understand that if I am employed by the Church, before commencing my duties, I may be required to produce documentary evidence of my age and I will be required to produce documentary evidence of my right to work in the United States.

I hereby acknowledge that if I am employed by the Church, the first ninety (90) days of my employment with the Church constitutes a probationary period, and further, I understand that completing the probationary period does not ensure my continued employment or affect the “at-will” nature of my employment.

I understand that if I am employed by the Church, if requested by management at any time, I agree to submit to a search of my desk or any work space that may be assigned to me, and I waive all claims for damages on account of such search.

I understand and agree that if I am employed by the Church, in the performance of my duties as an employee of the Church, or after I leave the Church, that I must hold in confidence any and all information that I come in contact with regarding my employer or its business.

I understand this application will remain active for one (1) year during which time it may but will not necessarily be, at the sole discretion of the Church, reviewed for open positions within the location at which I applied