Employment Application Return To

Employment Application Return to

Applicant Information

Full Name: / Date:
Last / First / M.I.
Address:
Street Address / Apartment/Unit #
City / State / ZIP Code
Phone: / E-mail Address:
Date Available: / Desired Salary: $ / Position Applied for:
Are you legally eligible for employment in the United States? / YES / NO / Can you perform the duties of the job for which you are applying? / YES / NO
Is there anything in your pastwe should be aware of, which might compromise your ministry at Northwest? / YES / NO / If yes, explain:
Have you everworked for Northwest previously? / YES / NO / If yes, when?
Please list any other names you have ever worked under:
Are you willing to become a member of
Northwest Bible Church? / YES / NO / If no, where do you regularly attend church?

Education

Name of High School: / Address:
Did you graduate? / Yes / No
College: / Address:
Did you graduate? / Yes / No / Degree:
Other: / Address:
Did you graduate? / Yes / No / Degree:

References

Please list three professional references.
Full Name: / Relationship:
Company: / Phone: / ()
Address:
Full Name: / Relationship:
Company: / Phone: / ()
Address:
Full Name: / Relationship:
Company: / Phone: / ()
Address:

Previous Employment

(Most recent or current) Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:
May we contact your previous supervisor for a reference? / YES / NO
Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:
May we contact your previous supervisor for a reference? / YES / NO
Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:
May we contact your previous supervisor for a reference? / YES / NO
Please list your involvement in any organizations which you consider relevant to your ability to perform this job:
1. / 2.
3. / 4.

Disclaimer and Signature

I affirm that the facts set forth in this employment application are true and complete. I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts shall be considered sufficient cause for non-employment or dismissal if employed. I affirm that my intention in completing this application is to apply for employment at Northwest Bible Church and for no other reason or purpose. I understand and acknowledge that this application is neither a contract of employment nor constitutes an offer or acceptance of employment. Further, I understand that, if employed, my employment may be terminated by either party at any time.
Signature: / Date: