Job / Ministry Application

Name *

First

Last *

Last

Email *

Address *

Address

City

State/Province

Zip/Postal

Country

Birthdate *

Home Phone

Mobile Phone

Employment Desired *

Regular Full-time

Regular Part-time

Full- or Part- time

Temporary

Describe Availability

Have you ever applied for our ministry position before?

Yes

No

If Yes, When? *

Do you have any friends or relatives employed by our ministry?

Yes

No

Name, Position *

Relationship *

Name, Position

Relationship

Do you attend Trinity EFCA Church?

Yes

No

If Yes, for how long? *

Are you a member of Trinity EFCA Church?

Yes

No

If Yes, what date did you join? *

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

Yes

No

Are you at least 18 years old? (If under 18, hire is subject to being of 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

If Yes, please explain? *

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

Yes

No

If no, describe the functions that cannot be performed: *

Are you currently employed?

Yes

No

If so, may we contact your employer? *

Yes

No

Education

Highschool

Name, Address, City, State, Zip

# Years Completed

Did you Graduate?

Yes

No

Degree or Diploma

College / University

Name, Address, City, State, Zip

# Years Completed

Did you Graduate?

Yes

No

Degree or Diploma

Graduate School

Name, Address, City, State, Zip

# Years Completed

Did you Graduate?

Yes

No

Degree or Diploma

Vacational / Business

Name, Address, City, State, Zip

Your Job Title

May we contact this employer for a reference?

Yes

No

Degree or Diploma

Add Vocation / Business Remove Vocation / Business

References

Name

Address

Phone Number

Occupation

# Years Acquanted

Add Reference Remove Reference

Employment History

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

Name, Address, City, State, Zip

# Years Completed

Your Duties

May we contact this employer for a reference?

Yes

No

Supervisors Name

Supervisors Phone:

Supervisors Extention

Add Employment History Remove Employment History

Please read carefully each paragraph, and check below.

*

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 on 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 Trinity EFCA 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 our ministry 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 our ministry, 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 Trinity EFCA. 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 or without prior notice, at the option of either myself or Trinity EFCA, and that no promises or representations to the contrary are binding on Trinity EFCA unless made in writing and signed by me and the Trinity EFCA Administrator.

*

Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien, or outstanding judgment) be conducted by Trinity EFCA, I am entitled to copies of any such public records obtained by the Trinity EFCA 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 a copy of any public record described in the paragraph above.

Education

Highschool

College / University

Graduate School

Vacational / Business

References

References

Employment History

Please read carefully each paragraph, and check below.

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