ALC Employment Application
APPLICANT INFORMATION
First and Last Name
*
Middle Initial
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip
Phone
*
Format: (000) 000-0000.
Facebook / Instagram Profile (optional)
Email Address
*
example@example.com
Position Applying for
*
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date Available
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you 18 years of age or older?
*
Yes
No
Desired Salary
*
Do you have any relatives who are employed by Abundant Life?
*
Yes
No
If SO who?
Have you ever worked for Abundant Life Church before?
*
Yes
No
If so when?
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EDUCATION
High School
City and State of school
Degree
Did you graduate?
Yes
No
College
City and State of school
Degree
Did you graduate?
Yes
No
Other
City and State of School
Degree
Did you graduate?
Yes
No
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WORK REFERENCES
Please list three professional work references (who are not related to you)
Full Name
Relationship
Company
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Full Name
Relationship
Company
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Full Name
Relationship
Company
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
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PREVIOUS EMPLOYMENT
(list most recent employer first)
Company
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Job Title
Supervisor
Starting Salary
Ending Salary
Responsibilities
Start Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Job Title
Supervisor
Starting Salary
Ending Salary
Responsibilities
Start Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Job Title
Supervisor
Starting Salary
Ending Salary
Responsibilities
Start Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
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MILITARY SERVICE
Branch
From
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
DISCLAIMER AND SIGNATURE
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 application or interview may result in my release.
Signature
*
Today's Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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