Personal Education Employment History

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Athens First United Methodist Church 327 N. Lumpkin Street Athens GA 30601 APPLICATION FOR EMPLOYMENT

Personal Last name

First Name

Middle Initial

Social Security Number

Street Address

City

State, Zip

Home Telephone

Email Address

Cell phone

Position Applied for

Salary Desired

What times are you available to work?

What date are you available to start?

Have you ever been employed by AFUMC before? If so, when? If you are related to anyone employed by AFUMC, list their name(s): Emergency Contact Name

Relationship

Phone Number

Are you at least 18 years of age?

If under 18, do you have a work permit?

Education Name of School High School

City, State

Major/Focus

Highest Grade/Degree completed

College Vocational/Business/Trade

List any professional awards or titles you hold: If you are applying for a clerical position, describe your computer experience and typing speed. Typing WPM: List any other special knowledge, skills or qualifications, including CPR training and date completed.

Are you willing to complete job-related training if required?

Employment History List all employment for the past 10 years, beginning with the most recent. All information must be completed, even if you submit a resume in addition to this application. Name of Employer

Name of Supervisor

Ending Salary

Ending Date:

Address of Employer

Phone Number

Starting Salary

Start Date:

Job Title

Reason for leaving

Duties and responsibilities held:

Name of Employer

Name of Supervisor

Ending Salary

Ending Date:

Address of Employer

Phone Number

Starting Salary

Start Date:

Job Title

Reason for leaving

Duties and responsibilities held:

Name of Employer

Name of Supervisor

Ending Salary

Ending Date:

Address of Employer

Phone Number

Starting Salary

Start Date:

Job Title

Reason for leaving

Duties and responsibilities held:

Name of Employer

Name of Supervisor

Ending Salary

Ending Date:

Address of Employer

Phone Number

Starting Salary

Start Date:

Job Title

Reason for leaving

Duties and responsibilities held:

May we contact your current/most recent employer?

Personal References Please list contact information for three personal references.

Name

Address

Phone

Relationship

General Do you have any disabilities that might affect your performance in the position applied for? If so, please describe.

Years Known

If you are hired, are you available to work overtime? Have you ever been convicted of or pled guilty to any crime, excluding convictions that have been sealed, expunged or legally eradicated, or dismissed misdemeanors? If so, please explain. (A "yes" response does not automatically disqualify your application.)

I, _____________________________, hereby certify that the information I have provided on this application for employment is true and correct. I authorize this church to verify the information I have provided on this application by contacting the references and employers I have listed, by conducting a criminal records check, or by other means, including contacting others whom I have not listed. I authorize the references and employers listed in this application to give whatever information they may have regarding my character and fitness for the position for which I have applied. I understand that should I fail to answer all questions truthfully, I will either be denied employment, or terminated upon discovery. I understand that AFUMC is a drug-free workplace, and agree to undergo drug testing if requested. In the event that my application is accepted by Athens First United Methodist Church, I agree to abide by the policies of Athens First United Methodist Church and to refrain from inappropriate conduct in the performance of my duties on behalf of Athens First United Methodist Church. I have read this waiver and the entire application, and I am fully aware of its contents. I sign this consent freely and under no duress or coercion. __________________________________________________ Signature of Applicant Date __________________________________________________ Witness Date