Please thoroughly read the following statements, then sign below. We are committed to hiring responsible people to join our team. We want to be sure we have the right information to make the most educated hiring decision. Thank you for applying with Prairie Lakes Church.
CERTIFICATION OF INFORMATION
The information I have provided in this application is true and complete to the best of my knowledge. Should I be employed by Prairie Lakes Church, I understand any misrepresentation or false statement contained herein may result in my dismissal.
I agree to furnish any additional information and complete such examinations as may be required to complete my employment application, including physical exams, drug and/or alcohol screening tests, and skills tests.
EMPLOYMENT AT WILL
I understand and acknowledge this application does not constitute an employment contract of any kind. I understand and acknowledge no agent or employee of Prairie Lakes Church (except the Executive Pastors by a specific written contract for a specific term of years naming the employee and signed by the employee and the Executive Pastors) has any authority to offer employment except on an at-will basis. I understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with the church is of an at-will nature. This means that should I be employed by Prairie Lakes Church, I may resign such employment at any time with or without prior notice, and Prairie Lakes Church may terminate my employment at any time with or without cause and with or without notice.
I also understand and agree to the church’s policy that the church’s decisions on all employment related matters are final and are not subject to review or appeal outside the church except as required by laws providing or requiring employers to provide specific employment standards and rights.
RELEASE OF INFORMATION
I agree and understand Prairie Lakes Church or its agents may investigate my background to ascertain any and all information of concern to my record. I hereby authorize and request my former employers, references, educational institutions, and other representative to provide Prairie Lakes Church with any information and opinions pertaining to me, including but not limited to my job title, department, service dates, wage, reason for termination, attendance, performance reviews, and educational information. I hereby waive the written notice requirement (of Section 6 of the Bullard-Plawecki Act) pertinent to a disciplinary report, letter of reprimand, or other disciplinary action. This means I understand I am waiving my right to be notified in writing that disciplinary information is being provided by any person or organization.
I agree the church may disclose or discuss any information or opinions relating to me or my employment to employees of the church or third parties, and I waive and release and promise not to make any claims against the church (or its employees, owners, or agents) relating to any such disclosure or discussion.
I release Prairie Lakes Church and any organization or individual who provides information about me from any and all claims and liability arising from disclosure of such information. A photocopy of this signed authorization shall be valid as an original.
PHYSICAL EXAMINATIONS/DRUG TESTING
I agree to submit to physical examinations permitted by law before and during my employment by a healthcare professional, at the request and expense of the church, and I agree to disclose completely all information requested at such examinations about my physical and mental condition and medical history. I also agree that before and during my employment, at the request and expense of the church, I will cooperate in such medical tests (including blood, hair, urine, or other testing) as the church requests to check for drugs or alcohol in my system or for any other physical condition. I waive and release and promise not to make any claims against the church (or any testing agency retained by it or their employees, directors, owner, and agents) relating to any such testing or from lawful decisions made regarding my employment or termination of employment based upon the results of such testing or analysis.
CONFIDENTIALITY AGREEMENT
I acknowledge I am fully aware of my responsibilities to protect the confidential nature of all information pertaining to individuals who are receiving or who have received service from Prairie Lakes Church. I further recognize I may not divulge any identifying information to any outside individual or organization without the express, written consent of the individual involved.
As an employee of Prairie Lakes Church, I recognize my obligation to adhere to church policy and philosophy in my contact with individuals and the community, and I may not utter statements contrary to said policies and philosophies.
I am aware any violation of confidentiality and/or policies and philosophies may lead to immediate dismissal.
OTHER
I agree I will not commence any action or suit relating to my employment with the church (or termination of employment) more than six months after the termination of my employment, and I agree to waive any statute of limitations to the contrary. I understand this means that even if the law would give me the right to wait a longer time to make a claim, I am waiving that right, and any claims not brought within six months after my employment ends will be barred.
I agree if any of the above commitments by me are ever found to be legally unenforceable as written, the particular agreement concerned shall be limited to allow its enforcement as far as legally possible. I understand and agree no one other than the Executive Pastors or by a written agreement with a specific named individual has any authority to modify or announce modification of the above terms and policies, make any exception to them, or offer employment on any other terms. I understand and agree that, except as provided above, all benefits, programs, rules, and policies of the church are subject to exceptions or change at any time as decided by the church.
If I am offered employment, and I accept it, I agree to the above terms. I further agree to be governed and to abide by the rules and regulations of the church. Reference above to the church includes its present and future parent and affiliated companies.