Employment Application Form (Page 3 of 4) in pdf

Employment Application Form Page 3

References

Please list three references (not related to you) that we may contact.

Name

Address and Telephone

Years Known/Relationship

Number

Please provide any other information that you feel will help us in considering your application for

employment:

Non-Discrimination Statement

<CHURCH NAME> does not discriminate against job applicants or employees on the

basis of race, color, national origin, gender, disability, age, or veteran status.

Employment At Will

Employment with <CHURCH NAME> is “at will” and not by contract either express or

implied. This means that if you become employed at <CHURCH NAME>, both you and the

church are free to terminate the employment relationship at any time and for any legal reason.

Certification and Release

By signing this job application, I certify that all the information I have provided is true

and accurate to the best of my knowledge, and understand that misleading or false statements

on this application may lead to a decision not to hire me or, if hired, to terminate my

employment.

(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.

Employment Application Form Page 3