Employment Application for Life Covenant Church

First Name

Middle Name

Last Name

This address will receive a confirmation email

Phone

Address

Length of Time at Address Above

Position Desired

Date Available to Start

Hours & Days you are Available to Work?

Are you legally eligible to work in the U.S.? (Proof of eligibility will be required upon offer of employment.)

Yes No

Are you over the age of 18? (If no, you may be required to provide authorization from a parent or guardian.)

Yes No

Have you ever applied to, or worked for, Life Covenant Church before?

Yes No

If yes, please give the date:

Educational Background

Name & Location of High School

Name & Location of College or Trade School Attended

Year Graduated from College or Trade School

Degree earned in College or Trade School

Other Educational Background to Share

Employment History

Please begin with most recent employment.

Most Recent Job: Please List Employment Dates, Employer Name, Employer Address & Phone Number, Job Title & Responsibilities, and Reason for Leaving

Next Job: Please List Employment Dates, Employer Name, Employer Address & Phone Number, Job Title & Responsibilities, and Reason for Leaving

Additional Employment History

May we contact the employers listed above? Yes No

Please list any additional education, training, or skills that qualify you for the position to which you are applying.

Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor traffic violations), including convictions based on a plea of guilty or no contest?

Yes No

If “yes,” please explain, including the nature of the offense, date, court location, and other information that would be helpful to us in considering your application.

Church Activity

Please list the churches you have attended over the past five years.

Most Recent Church Name, Location, and Dates Attended

Next Church Name, Location, and Dates Attended

Other Churches Attended

References

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

Reference One: Name, Telephone number or Email, Years Known, Nature of Relationship

Reference Three: Name, Telephone number or Email, Years Known, Nature of Relationship

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

Non-Discrimination Statement

Life Covenant Church does not discrminate against job applicants or employees on the basis of race, color, national origin, gender, disability, age, or veteran status.

Certification & 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.

I hereby give Life Covenant Church 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 it offered a position with Life Covenant Church, I may be required to submit to a pre-employment 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 this pre-employment check may result in withdrawal of an employment offer or, if already employed, termination of employment.

BY SIGNING HERE I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD, AND AGREE TO THE ABOVE STATEMENTS.

Employment Application for Life Covenant Church

Life Covenant Church does not discrminate against job applicants or employees on the basis of race, color, national origin, gender, disability, age, or veteran status.

Description

Please Fix the Following