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Download the application and submit it to the church office or fill out the form below. Thank you.

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Employment Application

* Indicates required field

Date *

Name *

First

Last

Address *

State *

Position Desired *

Date Available to Start *

City *

Zip *

What hours and days you are available to work? *

If hired, what salary or rate of pay do you expect to receive? *

Social Security Number *

Phone Number (H) *

Phone Number (W) *

Email *

Are you legally eligible to work in the United States? (Proof of eligibility will be required upon offer of employment) *

Yes No

Are you over the age of 18? (If no, you may be required to provide authorization from a parent or guardian) *

Yes No

EDUCATIONAL BACKGROUND

HIGH SCHOOL

Name/Location of School *

Year Graduated *

COLLEGE

Name/Location of School *

Year Graduated *

Degree *

Areas of Concentration *

Other *

EMPLOYMENT HISTORY

Employment Date *

Employment & Supervisor's Name *

Address & Phone Number *

Job Title & Primary Responsibilities *

Reason for Leaving *

Untitled *

Employment Date *

Employment & Supervisor's Name *

Address & Phone Number *

Job Title & Primary Responsibilities *

Reasons for Leaving *

May we contact the employment listed above? *

Yes No

Please list any additional education, training or skills that qualify you for the position to which you are applying *

Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor traffic violations), including convictions based on a plea of guilty or no contest? *

Yes No

If Yes, please explain, including the nature of offense, date, court location, and other information that would be helpful to us in considering your application. (If no, put N/A) *

CHURCH ACTIVITY

Church Name *

Address/Location *

Phone Number *

Dates Attended *

REFERENCE

Please list three references (not related to you) that we may contact.

Name *

Address & Phone Number *

address & Phone Number *

Years Known/Relationship *

Year Known/Relationship *

Please provide any other information that you feel will help us in considering your application for employment. *

Non-Discrimination Statement

Wayne City Baptist Church does not discriminate against job applicants or employees on the basis of race, color, national origin, gender, disability, age, or veteran status.

Employment at Will

Employment with Wayne City Baptist Church is "at will" and not by contract either express or implied. This means that if you become employed at Wayne City Baptist Church, both you and the church are free to terminate the employment relationship at any time and for any legal reason.

Certification and Release

By signing this job application, I certify that all the information I have provided is true and accurate to the best of my knowledge, and understand that misleading or false statements on this application may lead to a decision not to hire me or, if hired, to terminate my employment.

I hereby give Wayne City Baptist Church permission to contact my previous or current employers, references, schools, and others concerning the statements in this application, and I hereby release all parties involved from any liability as a result of such contact.

I understand that if offered a position with Wayne City Baptist Church, I may be required to submit to a pre-employment medical examination, drug screening, and/or criminal background check as a condition of employment. I understand that unsatisfactory results from refusal to cooperate with, or any attempt to effect the results of these pre-employment tests will result in withdrawal of an employment offer or, if already employed, termination of employment.

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

Signature *

Date *

Submit

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Employment Application

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