Employment Application

Application For Employment

First Baptist Church Jacksonville

(Valid for only 180 days)

"*" indicates required fields

Step 1 of 6

16%

Applying For Position(s)*

Salary Desired*

Please answer all questions. Resumes are not accepted in lieu of completion of this application. Note: This application was designed for use with several types of positions. Some questions may not be completely applicable to the position you are seeking; however, we ask that you answer all questions.

Date of Application*

MM slash DD slash YYYY

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Only U.S. Citizens or aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon employment, submit documentation verifying your identity and your legal right to work in the U.S.?*

Yes

Have you been convicted of any crime within the past 5 years?*

If yes, give dates and explain (Attach separate paper if necessary.) A conviction will not necessarily disqualify you from employment.

Yes

File

Max. file size: 100 MB.

Are you over 18 years of age?*

Yes

Educational Data

Educational Schools

Please add a the information requested below. Create additional rows for each institution by using the plus icon on the end of the row.

School Name

School Address

Number of Years Completed

Degree? (Yes/No)

Major Course of Study

Other Skills

List any other job-related skills, qualifications, or licenses that support your application.

Honors Recieved

In order to permit a check of your work and educational records, should we be made aware of any changes of name or assumed name that you previously used?

Yes

Other Names and Dates of use

Employment Experience

Employer #1

Employer

Address

Job Title

Supervisor

Reasons For Leaving

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Starting Salary

Ending Salary

Work Performed

May we contact this employer?

Yes

Employer #2

Employer

Address

Job Title

Supervisor

Reasons For Leaving

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Starting Salary

Ending Salary

Work Performed

May we contact this employer?

Yes

Employer #3

Employer

Address

Job Title

Supervisor

Reasons For Leaving

Starting Salary

Ending Salary

Work Performed

May we contact this employer?

Yes

Employer #4

Employer

Address

Job Title

Supervisor

Reasons For Leaving

Starting Salary

Ending Salary

Work Performed

May we contact this employer?

Yes

Other Qualifications

List organizations/professional groups you are a member of which, in your opinion, have a direct bearing on the position you are seeking.

Are you a veteran of the U.S. Military?

Yes

If yes, which branch

If yes, which branch of service?

If yes, please provide beginning date and ending date of active duty:

Date of discharge

MM slash DD slash YYYY

Have you ever been dismissed or forced-to resign from any place of employment?

If "Yes", please explain below.

Yes

Explaination

Are you currently employed?

Yes

Are you on layoff and subject to recall?

Yes

May we contact your current employer?

Yes

Previous employers?

Yes

Please identify any exceptions and reasons for not contacting prior employers:

Can you travel if the job requires it?

Yes

Will you work overtime, if asked?

Yes

Are there any hours, shifts, or days you will not work?

If "Yes", please explain below.

Yes

Explaination

What foreign languages do you speak, read, or write?

Do you have any friends or relatives who work here?

Yes

Name of Relatives

You can add more relatives by using the plus icon at the end of the row.

Name

Relationship

Character References

List References Below

List three persons, not related to you, whom you have known for at least one year. You can add more references by using the plus icon at the end of the row.

Name

Occupation

Address

Contact Number

Below, list any other information or remarks that you wish to have considered as a part of your application for employment.

How did you hear of FBC?

Have you filed an application here before?

Yes

Date of previous application

MM slash DD slash YYYY

Have you ever been employed here before?

Yes

Date of previous employment

MM slash DD slash YYYY

Notices

Notice To Applicants

We comply with the Americans with Disabilities Act of 1990. During the interview process, you may be asked questions concerning your ability to perform job-related functions. If you are given a conditional offer of employment, you may be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination. If required, all entering employees in the same job category will be subject to the same medical questionnaire and/or examination and all information will be kept confidential and in separate files.

PLEASE, READ AND SIGN THE STATEMENT BELOW

I understand that in accordance with Florida §443.131(3){a)(2), if hired, I will be placed on a 90-day probationary period. I further understand that if I am terminated for unsatisfactory work performance within the 90-day probationary period, the employer may seek to contest any unemployment benefit I might attempt to obtain as a result of my termination

Initials*

I understand and agree that all policies, procedures, and the Employee handbook may be modified, amended, or deleted by the Company, with or without notice to me of such amendment, modification, or deletion; that the policies and procedures are not intended to be a contract of employment nor do they give me a right of continued employment; and that my employment may be terminated at my option or at the option of First Baptist Church, with or without notice, by either party. I also understand that there are no other arrangements, agreements, or understandings regarding the terms of employment. There may be no amendments or exceptions to this statement unless they are in writing and signed by the church administrator.

Initials*

I understand that I may be required to undergo blood and/or urinalysis screening for drug or alcohol use as part of our pre-employment process. In addition, all employees are subject to blood and/or urinalysis screening for drug or alcohol use.

Initials*

I certify that all information given on this employment application, any resume that I submit to the company, and any related papers and answers given during oral interviews are true and correct. I understand that the First Baptist Church will make a thorough investigation of my work and personal history. I authorize the giving and receiving of any such information requested by the company during the course of such an investigation. I understand that falsification of any information given by others during the course of an investigation or any derogatory information discovered as a result of this investigation may subject me to immediate dismissal. I hereby release from liability any and all persons who provide information to my employer during the course of any such investigation.

Initials*

Signature

Date of Signature

MM slash DD slash YYYY