Employment Application – International Christian Center

Applicant Information

Name *

First

Middle

Last

D.O.B. *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Date Available *

Desired Salary *

Position Applied for *

Are you a citizen of the United States? *

Yes
No

Have you ever worked for this company? *

Yes
No

Have you ever been convicted of a felony? *

Yes
No

Education

High School *

Address

From *

To *

Did you graduate? *

Yes
No

Diploma

College *

Address

From

To

Did you graduate? *

Yes
No

Degree

References

Please list three professional references.

Full Name *

Relationship *

Company *

Phone *

Address *

Full Name *

Relationship *

Company *

Phone *

Address *

Full Name *

Relationship *

Company *

Phone *

Address *

Previous Employment

Company *

Phone *

Address

Supervisor *

Job Title *

Starting Salary

Ending Salary

Responsibilities *

From *

To *

Reason For Leaving *

May we contact your previous supervisor for a reference? *

Yes
No

Upload your resume *

Click or drag a file to this area to upload.

Disclaimer and Signature

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 or misleading information in my application or interview may result in my release. It is the policy of International Christian Center that all new employees serve a probationary period of 3 months from date of commencement. If in the event you are hired at International Christian Center a criminal background check must be filled out completely and processed before the opportunity to work is granted.

Signature

Today's Date *