The Rock Church Application for Employment Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Which position are you applying for today? * Bangor Cafe Coordinator Are you available to work overtime if required? * Yes No Are you available to work weekends if required? * Yes No As part of our church policy, it is standard procedure to perform a background check on someone we are considering for employment. Would you object to such a procedure? * Yes No Educational Background What is your brief educational Background? * Employment Background Please provide the following information starting with your most recent employer. Employer * Telephone * (###) ### #### Your Job Title * Immediate Supervisor and Title * Please summarize the type of work performed and job responsibilities. * Start Date * MM DD YYYY End Date * MM DD YYYY Reason For Leaving * Employer * Telephone * (###) ### #### Your Job Title * Immediate Supervisor and Title * Please summarize the type of work performed and job responsibilities. * Start Date * MM DD YYYY End Date * MM DD YYYY Reason For Leaving * References Reference 1 First Name Last Name Relationship Years Acquainted Telephone (###) ### #### Reference 2 First Name Last Name Relationship Years Aquainted Telephone (###) ### #### Reference 3 First Name Last Name Relationship Years Acquainted Telephone (###) ### #### I certify that the above information I have provided is true, complete and correct. I authorize you and your organization to investigate all statements contained on this application. I understand that any misrepresentation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal. Furthermore, I understand and agree that is employed I am free to resign at any time, with out without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not in any way constitute an agreement or contract for employment. I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the Inited States. By checking below, you are agreeing to the above statements. * I agree Thank you for submitting your application. Our office will review it and be in touch with you.
