Employment Application Employment Application Date of Application* Date Format: MM slash DD slash YYYY Position applying for:*APPLICANT INFORMATIONName* First Middle Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone:Alternate Phone:Email* If you were to die today, do you know for sure you would go to heaven?*YESNOIf you stood before God and He asked you ‘Why should I let you into my heaven?’ how would you reply to God’s question? Please give detailed answer:*Are you a member of Family Church?*YESNOName of campus or church you attend:*Have you previously applied for employment with Family Church or PBCA?*YESNOWhen?*Have you ever been employed with Family Church or PBCA?*YESNOWhen?*Have you ever been dismissed or forced to resign from any employment?*YESNOIf yes, please explain*If you are under 18 years of age, can you provide required proof of your eligibility to work?*YESNONOT APPLICABLEAre you a U.S. citizen or approved to work in the United States?*YESNOWhat document will you provide as proof of citizenship or legal status?*Have you ever served in the United States Military?*YESNOWere you honorably discharged?*YESNOIf NO, explain:*Have you ever been convicted (or are any charges pending) of a felony/criminal offense?YESNOIf yes, please explain*Do you use:Tobacco?*YESNODrugs?*YESNODrink alcoholic beverages?*YESNOHow did you hear about this position? Church website Worship Program Friend Other Date available for work if hired* Date Format: MM slash DD slash YYYY Available to work: Full-Time Part-Time Shift Work Temporary EDUCATION AND TRAININGHigh School HS List*NameLocation (city/state)Year GraduatedCourse of study / Degree earned College CollegeNameLocation (city/state)Year GraduatedCourse of study / Degree earned Post Graduate Studies Post Graduate ListNameLocation (city/state)Year GraduatedCourse of study / Degree earned Vocational School/Specialized Training Vocational ListNameLocation (city/state)Year GraduatedCourse of study / Degree earned JOB SKILLS / QUALIFICATIONSSummary of SkillsList skills and qualifications you possess for the position for which you are applying:*List other training, qualifications and skills, i.e. audiovisuals, bookkeeping, computer & software (be specific when identifying computer skills), other language(s), food service, recreation, professional licenses, certificates or registrations, etc.*EMPLOYMENT HISTORY List current or most recent employment firstEMPLOYER NAMEJob Title/PositionSupervisor NameEmployer Address:Employer Telephone:Duties/Responsibilities:Salary: Starting $Ending $Dates employed: FromToReason for leaving:EMPLOYER NAMEJob Title/PositionSupervisor NameEmployer Address:Employer Telephone:Duties/Responsibilities:Salary: Starting $Ending $Dates employed: FromToReason for leaving:EMPLOYER NAMEJob Title/PositionSupervisor NameEmployer Address:Employer Telephone:Duties/Responsibilities:Salary: Starting $Ending $Dates employed: FromToReason for leaving:PERSONAL REFERENCES(List 4 personal references, who are not relatives or former employers)Name:*Street*City*State*ZIP*Home/Cell Phone*Work PhoneRelationship*Name:*Street*City*State*ZIP*Home/Cell Phone*Work PhoneRelationship*Name:*Street*City*State*ZIP*Home/Cell Phone*Work PhoneRelationship* PLEASE READ THE FOLLOWING BEFORE SIGNING First Baptist Church of West Palm Beach, FL (Family Church) is committed to the policy of equal employment opportunity in its personnel and employment practices. We consider applicants for all positions without regard to race, color, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status. I understand and acknowledge that, unless otherwise defined by applicable law, and employment relationship with this organization is of an “at will” nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Family Church. I further understand that Family Church is exempt from participation in state and federal unemployment benefit programs and that no such benefit will be available to me as a result of my employment with Family Church. I understand that if hired, in consideration of my employment, I agree to submit to those in authority and to abide by the position of Family Church with regard to morals, dress, and Christian conduct. I further agree to conform to all current and future policies and regulations of Family Church including, but not limited to, Family Church Personnel Manual in Human Resources Office and Family Church Bylaws, found at www.gofamilychurch.org/our-beliefs/. I certify that the answers given herein are true and complete to the best of my knowledge. I understand that any false information in connection with my application for employment may be cause for immediate discharge at any time thereafter. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, said investigation to include a criminal background check. I give consent for Family Church to check the references I have listed, as well as any other reference deemed necessary, including present and previous employment and background, understanding that employment is partially contingent upon satisfactory results. I release all references and former employers of all liability in offering information about my background and employment performance, and I release Family Church from any liability in connection with such an investigation. Signature*Date* Date Format: MM slash DD slash YYYY Attach Resume: Drop files here or Accepted file types: doc, docx, pdf.