FBC Employment Application

FBC Employment Application

Thanks for your interest in joining our team! Please fill out the following information so that we can get to know you. Please click “Save” at the end of each page. That way, you can pick up right where you left off.
Name*

First NameMiddle NameLast Name
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload a profile photo of yourself:*

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Applicant Information
Application For (Position Title)*
Available Starting Date*

MonthDayYear
Date
Social Security Number*
Desired Annual Salary*
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the United States?

YesNo
Have you previously worked for FBC Elkhart or Elkhart Christian Academy?*

YesNo
If so, when? Which position did you hold?
Have you ever been convicted of a felony?*

YesNo
If yes, explain:

Education
High School Attended*
High School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Starting and Ending Year Attended*
Did you graduate?*

YesNo
College / University Attended
College / University Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Starting and Ending Year Attended
Did you graduate?

YesNo
Degree / Field of Study
Please describe any other / additional education.

Please list three professional references:

Click the arrows on the right to enter information for each reference:

Reference #1
Full Name of Reference #1*
Relationship to Reference #1*
Reference #1 Company / Employment*
Reference #1 Phone Number*
Please enter a valid phone number.
Reference #1 Email*
example@example.com

Reference #2
Full Name of Reference #2*
Relationship to Reference #2*
Reference #2 Company / Employment*
Reference #2 Phone Number*
Please enter a valid phone number.
Reference #2 Email*
example@example.com

Reference #3
Full Name of Reference #3*
Relationship to Reference #3*
Reference #3 Company / Employment*
Reference #3 Phone Number*
Please enter a valid phone number.
Reference #3 Email*
example@example.com

Employment Experience

Click the arrows on the right to enter information for each employment experience. Please list most recent employment first:

Employment Experience #1
Company*
Phone Number*
Please enter a valid phone number.
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name*

First NameLast Name
May we contact your previous supervisor for a reference?*

YesNo
Job Title*
Starting and Ending Salary*
Starting Date*

MonthDayYear
Date
Ending Date*

MonthDayYear
Date
Reason for Leaving*

Employment Experience #2
Company*
Phone Number*
Please enter a valid phone number.
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name*

First NameLast Name
May we contact your previous supervisor for a reference?*

YesNo
Job Title*
Starting and Ending Salary*
Starting Date*

MonthDayYear
Date
Ending Date*

MonthDayYear
Date
Reason for Leaving*

Employment Experience #3
Company*
Phone Number*
Please enter a valid phone number.
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name*

First NameLast Name
May we contact your previous supervisor for a reference?*

YesNo
Job Title*
Starting and Ending Salary*
Starting Date*

MonthDayYear
Date
Ending Date*

MonthDayYear
Date
Reason for Leaving*

Have you served in the military?*

YesNo
Thank you for your service.

Personal Testimony of Faith:*
Please tell us how you came to a saving knowledge of Jesus Christ and how that impacts your life today.
Please attach your resume here:*

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Disclaimer & Signature
Electronic Signature*
Date*

MonthDayYear
Date
Should be Empty: