First Name
*
Middle Name
Maiden Name
Last Name
*
Present Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Best Phone Number
*
(###)
###
####
Best Email Address
*
Gender
Employment Desired
*
I'm applying for employment at:
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Position
Date You Can Start
*
MM
DD
YYYY
Are you 18 years of age or older?
*
How many hours are you available to work each week?
Can you work at least two evenings per week?
Are there certain days that you would not be available? Which days?
Statement of Faith Confirmation
*
Highest Level of formal education completed
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School or Educational Institution
Location (City, State)
*
Dates Attended
*
Degree Achieved
*
Yes
No
Year Degree Earned
List any special courses, seminars, and/or training related to the position for which you are applying.
List any professional, trade or civic organization activity that relates to the position for which you are applying.
Have you ever been convicted of a crime?
*
Yes
No
If yes, explain the nature of the conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Name of Previous Employer 1
*
Job Title at Previous Employer 1
*
Dates Employed at Previous Employer 1
*
Reason for Leaving Previous Employer 1
List duties, skills learned, and/or advancements while working at Previous Employer 1
Name of Supervisor at Previous Employer 1
*
Phone number of Supervisor Previous Employer 1
*
(###)
###
####
Name of Previous Employer 2
Job Title at Previous Employer 2
Dates Employed at Previous Employer 2
Reason for Leaving Previous Employer 2
List duties, skills learned, and/or advancements while working at Previous Employer 2
Name of Supervisor at Previous Employer 2
Phone Number for Supervisor at Previous Employer 2
(###)
###
####
Name of Previous Employer 3
Job title at Previous Employer 3
Dates Employed at Previous Employer 3
Reason for Leaving Previous Employer 3
List duties, skills learned, and/or advancements while working at Previous Employer 3
Name of Supervisor at Previous Employer 3
Phone Number for Supervisor at Previous Employer 3
(###)
###
####
May we contact your current or previous employer?
*
If you answered "no", please explain why:
Reference 1 (friend)
*
Reference 1 email address
Reference 1 phone number
(###)
###
####
Reference 2 (family member)
*
Reference 2 email address
Reference 2 phone number
(###)
###
####
Reference 3 (pastor, small group leader, spiritual mentor)
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Reference 3 email address
Reference 3 phone number
(###)
###
####
Do you have a valid drivers license?
*
Yes
No
Drivers license number
Drivers license state of issue
Drivers license expiration date
MM
DD
YYYY
Where did you hear about Freedom for Youth Ministries?
Summarize any additional information necessary to describe your qualifications or interest in this position.
Employment-at-will Relationship
*
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of any employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Freedom for Youth Ministries, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.
Permission to Contact
*
I authorize investigations of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.
Criminal Background Check
*
I understand, in connection with the routine processing of this employment application, the Company will request a criminal background check including past criminal convictions and driving records. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.
*
By checking this box and entering my name and today's date, I agree that the information on this application is correct to the best of my knowledge.
Name
*
First Name
Last Name
Date
*
MM
DD
YYYY
