Plainfield UMC Job Application - Church Staff App

Job Application
Applicant Information

Tell us about yourself.
Last*
First*
Middle
Date

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date Available*

MonthDayYear
Date
Desired Salary*
Position Applied for*
Are you authorized to work in the U.S.?*

YesNo
Have you ever worked for Plainfield UMC before?

YesNo
Have you ever been convicted of a felony?

YesNo
If yes, explain

Education

Tell us about your education.
High School
Address
From
To
Did you graduate?

YESNO
Diploma
College
Address
From
To
Did you graduate?

YESNO
Degree
Other
Address
From
To
Did you graduate?

YESNO
Degree

References

Please include at least one professional reference.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone Number
Please enter a valid phone number.
Address
Full Name
Relationship
Company
Phone Number
Please enter a valid phone number.
Address

Military Service
Did your serve in the military?

YesNo
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my applicationor interview may result in my release.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty: