Employment Application PERSONAL INFORMATION  Please print and answer fully. Incomplete information could disqualify you from further consideration. Name_________________________________________________ Address___________________________________________________ E-mail Address___________________________________________ Home Phone # _____/______________Cell/Mobile Phone #_____/________________ Are you eligible to work in the U.S? (Please circle one)     Yes      No Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)     Yes       No During the last ten years, have you ever been convicted of a crime other than minor traffic offense? A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered.       Yes       No If yes, please provide details (dates and location for all convictions) ___________________________________________________________________________________________________ Have you ever been terminated from employment or asked to resign by an employer?      Yes       No If yes, please provide company names and details__________________________________________________________ __________________________________________________________________________________________________ Can you work weekdays?   Yes     No        Can you work weekends?    Yes       No Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?    Yes     No EMPLOYMENT DESIRED Date you can start ___________________ Hourly Rate/Salary desired ______________________________ Position desired __________________________________ Are you currently employed? __________ If so may we inquire of your present employer? ______________ REFERRAL SOURCE How did you hear about us? (Circle one)  Walk In      Advertisement          Referral            Other Have you ever worked for this church before?     Yes     No     Explain___________________________ Do you know anyone who works for our church?      Yes        No              If yes, who? _______________________ EDUCATION Name and location of school No. of yrs. Attended Degree Received Subjects studied/Major High School         College or University         Trade, Business or Correspondence School         EMPLOYMENT HISTORY Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time.  Please respond fully.  Incomplete information could disqualify you from further consideration.         From To Employer Name Telephone ( ) Job Title Address Immediate supervisor and title Summarize the nature of work performed and job responsibilities     Reason for leaving Hourly Rate/Salary From To Employer Telephone ( ) Job Title Address Immediate supervisor and title Summarize the nature of work performed and job responsibilities     Reason for leaving Hourly Rate/Salary From To Employer Telephone ( ) Job Title Address Immediate supervisor and title Summarize the nature of work performed and job responsibilities     Reason for leaving Hourly Rate/Salary From To Employer Name Telephone ( ) Job Title Address Immediate supervisor and title Summarize the nature of work performed and job responsibilities     Reason for leaving Hourly Rate/Salary From To Employer Telephone ( ) Job Title Address Immediate supervisor and title Summarize the nature of work performed and job responsibilities     Reason for leaving Hourly Rate/Salary From To Employer Telephone ( ) Job Title Address Immediate supervisor and title Summarize the nature of work performed and job responsibilities     Reason for leaving Hourly Rate/Salary     Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain._________________________________________________________________________________________ Computer Skills (please describe): REFERENCES Give the names of three persons not related to you, whom you have known at least three (3) years. Name Address, Phone, Email Company Years Acquainted 1       2       3       Please read carefully before signing. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Marcus Whitman Presbyterian Church (MWPC) to hire me. If I am hired, I understand that either MWPC or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of MWPC has the authority to make any assurance to the contrary. I attest with my signature below that I have given to MWPC true and complete information on this application. No requested information has been concealed. I authorize MWPC to contact references provided for employment reference checks. I also understand that I may be required to submit to a criminal background check as part of the post-job offer process and give my consent to same.  If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. Date____________ Signature__________________________________________