Name *

First Name

Last Name

Home Phone *

(###)

###

####

Cell Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you attend Woodland Shores Baptist Church? *

YES

NO

Are you a member of Woodland Shores Baptist Church? *

YES

NO

Do you attend church somewhere else?

YES

NO

If hired, would you have a reliable means of transportation to and from work? *

YES

NO

If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country? *

YES

NO

Have you ever been arrested or convicted of a crime (other than moving violations)? *

YES

NO

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation? *

YES

NO

Are you currently employed? *

YES

NO

If so, may we contact your current employer?

YES

NO

Some of those with whom we communicate might not speak English. Do you speak, write or understand any foreign language(s)? *

YES

NO

Please rank your proficiency in each of these software/ skill areas. *

(Please indicate your agreement with this statement, Know that choosing neutral will require further clarification.

I am proficient in MIcrosoft Word

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am proficient in MIcrosoft Excel

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am proficient in MIcrosoft Outlook

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am proficient in Microsoft Publisher

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am proficient in MIcrosoft PowerPoint

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am proficient in Quickbooks

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am proficient in Quicken

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Reference 1 Name

First Name

Last Name

Reference 1 Phone Number

(###)

###

####

Reference 1 Address 1

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference 2 Name

First Name

Last Name

Reference 2 Phone Number

(###)

###

####

Reference 2 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference 3 Name

First Name

Last Name

Reference 3 Phone Number

(###)

###

####

Reference 3 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. *

YES

NO

I hereby authorize Woodland Shores Baptist Church to thoroughly investigate any references, work record, education, and other matters related to my suitability for employment and further, authorize the references I have listed to disclose to our ministry any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release our ministry, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure. *

YES

NO

I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and Woodland Shores Baptist Church. In addition, I understand and agree that if I am employed my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or Woodland Shores Baptist Church, and that no promises or representations to the contrary are binding on Woodland Shores Baptist Church unless made in writing and signed by me and the Church Administrator. *

YES

NO

Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien, or outstanding judgment) be conducted by Woodland Shores Baptist Church, I am entitled to copies of any such public records obtained by the Church unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below. *

YES

NO

I waive receipt of a copy of any public record described in the paragraph above. *

YES

NO