Employment Application Applicant Information * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Date Available Social Security No. Anyone desiring to work at FBCS must agree to a criminal background check. Desired Salary (Optional) $ Position Applied for: Are you a citizen of the United States? Yes No Have you ever worked for this church? Yes No Have you ever been convicted of a felody? Yes No Have you ever been charged with, indicted for, or pled guilty to an offense involving a minor? Yes No Education Background List college(s) attended, graduation year(s), and degree(s) earned. References Please list three professional references. Reference 1 First Name Last Name Relationship Company Phone (###) ### #### Reference 2 First Name Last Name Relationship Company Phone (###) ### #### Reference 3 First Name Last Name Relationship Company Phone (###) ### #### Previous Employment Company Phone (###) ### #### Supervisor Job Title Start Date / End Date Reason for Leaving May we contact your previous supervisor for reference? Yes No Company Phone (###) ### #### Supervisor Job Title Start Date / End Date Reason for Leaving May we contact your previous supervisor for reference? Yes No Company Phone (###) ### #### Supervisor Job Title Start Date / End Date Reason for Leaving May we contact your previous supervisor for reference? Yes No Acknowledgements * I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false of misleading information in my application or interview may result in my release. Thank you for submitting an application!
