By clicking the submit button below, I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification or misrepresentation is grounds for dismissal in accordance with Assemblies of God Family Services Agency policy.

I authorize the references listed in this application to give you any and all information they may have, and release all parties from all liability for any damage that may result from furnishing same to you.

In consideration of my employment, I agree to conform to the rules and regulations of Assemblies of God Family Services Agency and acknowledge that my employment and compensation can be terminated, with or without cause, at the option of either the company or myself. I understand that only the Board of Directors has authority to enter into an agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.