Employment Application Form (Page 4 of 4) in pdf

Employment Application Form Page 4

I hereby give <CHURCH NAME> permission to contact my previous or current

employers, references, schools, and others concerning the statements in this application, and I

hereby release all parties involved from any liability as a result of such contact.

I understand that if offered a position with <CHURCH NAME>, I may be required to

submit to a pre-employment medical examination, drug screening, and/or criminal background

check as a condition of employment. I understand that unsatisfactory results from, refusal to

cooperate with, or any attempt to effect the results of these pre-employment tests will result in

withdrawal of an employment offer or, if already employed, termination of employment.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD, AND AGREE TO

THE ABOVE STATEMENTS.

____________________________________________

_______________________________

Signature

Date

(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 4