Employment Application

APPLICANT INFORMATION

Name

Address

Phone

This address will receive a confirmation email

EMPLOYMENT POSITION

Position applying for:

How did you hear about this position?

On what date can you start working if hired?

PERSONAL INFORMATION

Are you 18 years of age or older?

Are you a U.S. citizen or approved to work in the United States?

Are you able to lift 50 lbs or more?

Do you have any condition which would require reasonable job accommodations?

If yes, please describe below.

(Note: Pentecostal Church of Christ complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

If yes, please state the nature of the crime(s), when and where convicted, and disposition of the case.

JOB SKILL QUALIFICATIONS

Please list below the skills and qualifications you possess for the position for which you applying:

EDUCATION AND TRAINING

1) College/University

Name

Address

Year Graduated

Degree Earned

2) College/University

Name

Address

Year Graduated

Degree Earned

Vocational School/Specialized Training

Name

Address

Year Graduated

Degree Earned

Military

Are you a member of the Armed Services?

If yes, please answer the following questions. If no, please skip to the Previous Employment section.

What branch of the military did you enlist?

What was your military ranks when discharged?

How many years did you serve in the military?

What military skills do you posses that would be an asset for this position?

PREVIOUS EMPLOYMENT

1) Employer

Name

Address

Phone

Job Title

Supervisor Name

Dates Employed

Reason for leaving

2) Employer

Name

Address

Phone

Job Title

Supervisor Name

Dates Employed

Reason for leaving

3) Employer

Name

Address

Phone

Job Title

Supervisor Name

Reason for leaving

REFERENCES

Please provide 2 personal and/or professional reference(s) below.

1) Reference

Name

Phone

2) Reference

Name

Phone

UPLOAD COVER LETTER/RESUME

Please upload your cover letter

Upload (8MB)

Please upload your resume

Upload (8MB)

AT-WILL EMPLOYMENT

The relationship between you and the Pentecostal Church of Christ is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, and/or with or without notice, by you or the Pentecostal Church of Christ. No representative of Pentecostal Church of Christ has authority to enter into any agreement contrary to the foregoing "employment at will" relationship.

You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice President/Chief Operations Officer or the Company's President.

SIGNATURE

Typing your name below signifies you are completing this form using an electronic signature and all information is truthfull and accurate to the best of your knowledge. By signing electronically, you are certifying that you agree to electronically sign. To continue with the electronic signature process, please enter your name and date. Then click the "Submit" button to save your information and submit your job application.

Applicant Signature

Application Date

Employment Application

Description

Please Fix the Following