Employee Application

Employee Application

Please complete the form below to apply for a position with us.
Today's Date*

MonthDayYear
Date
How did you hear about this job?*
Full Name*

FirstMiddleLast
Social Security Number*
Birthday

MonthDayYear
Date
Email Address*
Phone Number*

Area CodePhone Number
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Name

First NameLast Name
Emergency Contact Number

Area CodePhone Number
Emergency Contact's Relationship to You
Position Applied For*
Type of Position*
Wage Desired*
Date Available*

MonthDayYear
Have you previously worked for or applied at CCC? If yes, list dates.*
Do you have any relatives or friends employed at CCC? If yes, please List their names.*
If the job you are applying for requires a resume, please upload one here.

Upload a File

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Education
Name of High School
Address of High School

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year of Graduation or Year in School Completed
Name of College
Address of College

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major/Minor
Year of Graduation or Year in School Completed
Name of Graduate School
Address of Graduate School

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major/Minor
Year of Graduation or Year in School Completed
Name of Business or Technical School
Address of Business or Technical School

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major/Minor
Year of Graduation or Year in School Completed
Other
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major/Minor
Year of Graduation or Year in School Completed
Christian Commitment
Community Covenant Church Healthy Missional Markers

Centrality of the Word of God- We believe that the Bible is the only perfect rule for faith, doctrine, and conduct.
Life Transforming- We teach our people how to be attentive to Christ in all circumstances
Intentional Evangelism- We are burdened for the spiritual condition of those who do not yet know Christ.
Transforming Communities through Compassion, Mercy, & Justice- We are burdened for the hurting people in our community and beyond.
Global Perspective & Engagement- We raise the sights of our members beyond our congregation and community by developing a Biblical worldview and often pray for and reference global matters.
Compelling Christian Community- We understand that our love for one another is a powerful testimony to the deity of Jesus.
Heartfelt Worship- We exalt and celebrate God for who He is, what He has done, what He is doing, and what He will do.
Sacrificial & Generous Living & Giving- We help people discover, develop, and deploy their spiritual gifts.
Culture of Godly Leadership- Our leaders at all levels serve with character, competence, and conviction.
Fruitful Organizational Structures- We embrace evaluation as normal and natural and work through conflict constructively.
Do you agree with the CCC Missional Markers?*

YesNo
If no, with which statements do your personal beliefs differ, please explain.
Have you accepted Jesus as Lord and Savior?*

YesNo
When?*
Please describe your relationship with Jesus:*
Where do you attend church?*
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor's Name*

First NameLast Name
Church Number*

Area CodePhone Number
Employment Experience
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Job Title
Supervisor
Hourly Rate/Salary
Dates Worked
Reason for Leaving
Nature of Business
Work Performed
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Job Title
Supervisor
Hourly Rate/Salary
Dates Worked
Reason for Leaving
Nature of Business
Work Performed
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Job Title
Supervisor
Hourly Rate/Salary
Dates Worked
Reason for Leaving
Nature of Business
Work Performed
Experience/Training
Summarize special skills and qualifications acquired from education, employment, or other experience.
Do you have hobbies that would be of benefit in the type of work for which you are applying?
Personal References
Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Extras
If hired, will you have reliable transportation to and from work?*

YesNo
If required for the position, do you have a valid driver's license?*

YesNo
Are you able to perform the essential functions of the job for which you are applying?*

YesNo
If you answered "no" to the answer above, please describe the functions that cannot be performed.
If hired, are you able to prove that you are eligible to work in the U.S.?*

YesNo
Are you 18 or older?*
If you are under 18, can you provide a work permit?*

YesNo
Have you in the last seven years, been convicted of any criminal offense?*

YesNo
If you answered yes to the question above, please indicate the nature of the offense, date, court, and disposition.
Military Service
Branch
Specialty
Date in
Date out (write "through present" if still in)
Personal Sexual Purity Statement
At Will Employment
Agreement
Signature*

Clear
CCC is an equal opportunity employer and does not unlawfully discriminate on the basis of race, sex, color, national origin, marital status, veteran status, disability status, or any other basis prohibited by federal, state, or local law. As a religious organization, CCC is permitted and reserves the right to prefer employees on the basis of religion. Title VII, Section 702-703, v.s. Civil Rights Act of 1984, as amended; Rev. Code of Washington.
Please verify that you are human*
Should be Empty:

Employee Application

Education

Christian Commitment

Employment Experience

Experience/Training

Personal References

Extras

Military Service

Personal Sexual Purity Statement

At Will Employment

Agreement