Employment Application Form

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<Church Name >
Address
Phone
EMPLOYMENT APPLICATION
Date:
Name ________________________________Social Security Number __________________
Address:
City
State:
Zip
Telephone: (h)
(w)
E-mail:
_
Length of time at address listed above:
Position desired:
Date available to start:
What hours and days are you available to work?
If hired, what salary or rate of pay do you expect to receive?
Are you legally eligible to work in the United States?
Yes
No
(Proof of eligibility will be required upon offer of employment)
Are you over the age of 18?
Yes
No
(If no, you may be required to
provide authorization from a parent or guardian)
Have you ever applied to, or worked for, <CHURCH NAME> before?
If yes, please give date: __________
Yes
No
Educational Background
Name/Location of School
Year Graduated Degree Areas of Concentration
High
School
College
Other
(06.07) This material is for informational purposes only. It is not intended to give specific legal or risk management advice, nor are any
suggested checklists or actions plans intended to include or address all possible risk management exposures or solutions. You are
encouraged to retain your own expert consultants and legal advisors in order to develop a risk management plan specific to your own
activities. For more information, contact the GuideOne Center for Risk Management at (877) 448-4331, ext. 5118 for Church and Schools, or
ext. 5175 for Senior Living Communities.

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