Sierra Bible Church - CA - SBC Employment Application

PERSONAL INFORMATION

First Name

Last Name

Email

Cell Number

Social Security Number

Address 1

Country

City

State

Zip/Postal Code

How long have you lived at this address?

Previous Address

Country

City

State

Zip/Postal Code

How long did you live at your previous address?

Are you over the age of 18?
Yes
No

What languages can you read, speak and write fluently?

Are you a citizen of the United States?
Yes
No

If not a citizen of the U.S., can you provide proof that you can legally be employed in the U.S.?
Yes
No

EMPLOYMENT INFORMATION

Position applying for?

Date available for work.

What salary/hourly rate do you expect?

Type of employment:
Full Time
Part Time
Temporary

What hours are you available?

Have you applied for a job with us before?
Yes
No

Have you ever worked for us before?
Yes
No

Have you been convicted of any crime other than a minor traffic violation?
Yes
No

If yes, state date, court, and place where offense occurred?

Have you ever been discharged or requested to resign from a position?
Yes
No

If yes, explain.

Does your present employer know of your plans to change employmnet?
Yes
No

Why do you desire to make a change?

Have you ever held a position of trust (handling money or confidential material)?
Yes
No

How much time have you lost from work during this past year?

Would you have steady transportation to work?
Yes
No

Do you have any personal responsibilities or problems that may affect your daily attendance?
Yes
No

If yes, explain

PRIOR WORK RECORD (Start with the most recent or present employer)

Name of Most Recent Employer

Phone Number of Most Resent Employer

Address of Most Recent Employer

Country

City

State

Zip/Postal Code

Name & Position of Immediate Supervisor

Starting Date of Most Recent Employer

Ending Date of Most Recent Employer

Your Position or Title

Describe your duties.

Reason for leaving?

Name of Previous Employer

Phone Number of Previous Employer

Address of Previous Employer

Country

City

State

Zip/Postal Code

Name & Position of Previous Immediate Supervisor

Starting Date of Previous Employer

Ending Date of Previous Employer

Your Position or Title for Previous Employer

Describe your duties for previous employer

Reason for Leaving Previous Employer

Your starting and ending rate of pay for your previous employer

May we contact the employers listed above?
Yes
No

If not, which employer do you not wish us to contact?

PERSONAL REFERENCES

First Name of Reference #1

Last Name of Reference #1

Phone Number of Reference #1

How many years have you known Reference #1?

Occupation of Reference #1?

First Name of Reference #2?

Last Name of Reference #2

Phone Number of Reference #2?

How many years have you known Reference #2?

Occupation of Reference #2?

First Name of Reference #3?

Last Name of Reference #3?

Phone Number of Reference #3?

How many years have you known Reference #3?

Occupation of Reference #3?

The facts set forth in application for employment are true and complete. I understand that if employed, false statements on my application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation on my personal history and financial and credit record through any investigation or credit agencies or bueaus of your choice in compliance with applicable laws or statutes.

I understand that employment at this organization is "at will", and includes no guarantee, contract, or promise of employment for any specified length of time. I further understand that a criminal record check may be conducted on me, and I consent to any such check. I authorize the use of any information in this application and any attached supplements to verify my statements, and I aushorize the past employers, shcools, churches, all references, and any other persons or organizations, whether or not identified in this application, to answer all questions askedd concerning my ability, character, reputation and previous employment record. I release all such persons from any and all liability or damages on acccount of having furnished such information.

By typing my name I agree that all information on this form is true and correct.

SBC Employment Application

PERSONAL INFORMATION

EMPLOYMENT INFORMATION

PRIOR WORK RECORD (Start with the most recent or present employer)

PERSONAL REFERENCES

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