EMPLOYMENT APPLICATION - Valley View Christian Church

Date Submitted: *

Address

Date of Birth:

Phone number *

Position Applying For *

Have you ever applied for a position at Valley View before? *

Yes

No

Do you have any friends or relatives employed at Valley View?

Yes

No

Write a short paragraph telling how you became a Christian.

Do you currently attend Valley View? *

Yes

No

If hired, would you have a reliable mode of transportation to and from work?

Yes

No

Are you at least 18 years old? *

If under 18, hire is subject to minimum legal age to work

Yes

No

If hired, can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country? *

Yes

No

Have you ever been arrested or convicted of a crime (other than moving violations)? *

Yes

No

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation? *

Yes

No

Are you currently employed? *

Yes

No

May we contact your current employer?

Current employer will be listed in another section.

Yes

No

EDUCATION

High School

Name, Address

Did you graduate High School?

Yes

No

College/University

Name, Address

Number of years of College Completed

min: 0 / max: 4

Did you graduate from College/University?

Yes

No

Graduate School

Name, Address

Number of years of Graduate School Completed

min: 0 / max: 4

Did you graduate from Graduate School?

Yes

No

Vocational/Business School

Name, Address

Number of years of Vocational School Completed

min: 0 / max: 4

Did you complete the program?

Yes

No

REFERENCES

List below three persons not related to you who have knowledge of your work performance within the last three years.

Name of Reference 1 *

Email *

Phone number

Occupation of Reference 1

Number of years acquainted with Reference 1

Name of Reference 2 *

Email *

Phone number

Occupation of Reference 2

Number of years acquainted with Reference 2

Name of Reference 3 *

Email *

Phone number

Occupation of Reference 3

Number of years acquainted with Reference 3

EMPLOYMENT HISTORY

List below all present and past employment starting with your most recent employer (last 5 years is sufficient). Account for all periods of unemployment. You must complete this section even if submitting a resume.

First

Include the following information: Employed from-to, Company Name & Address, Company phone number, your job title, your duties, supervisor name, supervisor phone number, reason for leaving, may we contact your employer for a reference

Second

Include the following information: Employed from-to, Company Name & Address, Company phone number, your job title, your duties, supervisor name, supervisor phone number, reason for leaving, may we contact your employer for a reference

Third

Include the following information: Employed from-to, Company Name & Address, Company phone number, your job title, your duties, supervisor name, supervisor phone number, reason for leaving, may we contact your employer for a reference

Use Additional Space if Necessary

Please read each paragraph carefully, and sign below indicating that you have read and understood each statement.

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize Valley View to thoroughly investigate any references, work record, education, and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to Valley View any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Valley View, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and Valley View. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with our without prior notice, at the option of either myself or Valley View, and that no promises or representations to the contrary are binding on Valley View unless unless made in writing and signed by me and the Executive Pastor.

Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien, or outstanding judgment) be conducted by Valley View, I am entitled to copies of any such public records obtained by the Church unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.

I waive receipt of copy of any public record described in the paragraph above.

DIGITAL SIGNATURE

First & last name

Date Signed: