FLC Job Application
As a potential employee of Family Life Church, you will be required to submit to our application process. Included in the application process is a criminal background check - providing personal and confidential information necessary to perform security checks. It is understood that all references will be checked.While this process understandably trespasses into the privacy of our lives, the security of our children outweighs the personal invasion inherent with such investigation and disclosures. All personal information that is voluntarily disclosed; the results of all security background checks or the refusal of any person to participate in a program or activity in lieu of such disclosure requirements will be maintained in the strictest of confidence.
Personal Information
Full Name
First Name
Middle Name
Last Name
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
Marital status
Please Select
Married
Single
Divorced
Widowed
If less than 2 year, what was your previous address?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Spouse's name
Employment History
Current employers name, address, phone number, oversight and current position. Please include date started.
Previous employer name, address, oversight, position and length at job.
Position applying for
Please Select
Housekeeping/Maintenance
Available Start Date
/
Month
/
Day
Year
Date
References
Please list 2 professional and 1 personal reference.
Professional Reference 1
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Professional Reference 2
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Reference
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Statements
Have you ever participated in, been accused of, or convicted of any type of sexual misconduct?
Please Select
Yes
No
If yes, please explain:
Is there anything in your past that might come up as a questionable issue?
Please Select
Yes
No
If yes, please explain:
The information contained in this application form is correct to the best of my knowledge. I authorize any of my references to provide any information, including opinions, which they may have regarding my character and fitness for work including but not limited to work with minors.
Please Select
Yes
No
I waive any right that I may have to inspect any information provided about me by my references in this screening process.
Please Select
Yes
No
Should my application be accepted, I agree to be bound by the policies of Family Life Church and refrain from unscriptural conduct in the performance of my services as my own free act.
Please Select
Yes
No
Electronic Signature
Confidentiality Agreement
As an employee of Family Life Church you will be exposed to information or materials that are of a confidential nature. FLC assures confidentiality to all of our clients. There is to be no information regarding a past or present client disclosed at any time to any unauthorized person
Please Select
Yes
No
Your electronic signature is your agreement to protect the confidentiality of all individuals who have requested services through this ministry.
Submit
Should be Empty: