Employment Application

Date*

MonthDayYear

If you are applying for a specific campus, please select from below:*

PLEASE SELECT

Position Desired: *

How did you hear about Grace? *

Is this a paid position or volunteer leader role? *

Employee, PaidVolunteer, Unpaid

Name:*

First NameLast Name

E-mail*

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Birth Date*

MonthDayYear

Primary Phone*

Area CodePhone Number

Emergency Contact*

NamePhoneE-Mail

Are you 18-years-of-age or older?

YESNO

Do you have reliable transportation?

YESNO

Are you legally eligible for employment in the US?

YESNO

Can you provide proof of your eligibility to work?

YESNO

What is your availability? *

Full-TimePart-TimeTemporary

When are you available to start work?*

MonthDayYear

Check the days you are available to work:

What is your minimum salary requirement?

If a paid position

Have you ever been convicted of a felony? *

YESNO

If so, what was the conviction and when?

Have you ever worked at Grace Community Church before or served as a Team Leader? *

YESNO

If YES, when and which campus?

Do you have any friends or relatives working for Grace? If so, list below:

First NameLast Name

Campus

Job Role

First NameLast Name

Campus

Job Role

HIGH SCHOOL NAME, CITY, STATE

Year of Completion

COLLEGE/UNIVERSITY, CITY, STATE

Year of Completion

Major/Area of Study

DEGREE(?)

GRADUATE SCHOOL, CITY, STATE

Year of Completion

Major/Area of Study

DEGREE(?)

TRADE SCHOOL, CITY, STATE

Year of Completion

Major/Area of Study

COMPLETION (?)

Ministry Training

Years Completed

Please list and/or describe any special ministry experience, service, or volunteering you have performed or participated in.

Start Date

End Date:

Current or Most Recent Employer:

Name of Employer

If you are applying for a paid position, may we contact your current employer?

YESNO

Address

Street

Phone

Phone Number(s)

City, State, Zip

Position

Last Position You Held:

Reason for leaving:

Start Date

End Date:

Employer:

Name of Employer

Address

Street

Phone

Phone Number(s)

City, State, Zip

Position

Last Position You Held:

Reason for Leaving

Start Date

End Date:

Employer:

Name of Employer

Address

Street

Phone

Phone Number(s)

City, State, Zip

Position

Last Position You Held:

Reason for Leaving

Please give us an idea of your computer experience: *

	Very Experienced	Experienced	Some Experience	Little to No Experience
General Email Use
Microsoft Word
Microsoft Excel
Microsoft Publisher
Office 365/SharePoint
Photoshop
Illustrator
ProPresenter
PowerPoint
WordPress
Expression Engine
Skype
IM/Messaging
CSS

OTHER: Are there any programs or IT systems you are familiar with?

SKILLS SUMMARY: Please list or describe any special skills you possess.

CLICK TO UPLOAD A COPY OF YOUR RESUME

Upload a File

Name:*

First NameLast Name

Phone Number*

Area CodePhone Number

Years Known:*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Comments

Name:*

First NameLast Name

Phone Number*

Area CodePhone Number

Years Known:*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

I authorize Grace Community Church and/or its agents to:

Investigate my background to verify the accuracy of the information given on this application in order to determine my suitability for the position and employment at Grace Community Church.

Investigate, verify and/or obtain information regarding my work history, job skills, education and other matters related to my suitability for employment, without unfair treatment or employment consideration because of my race, color, religion, sex (including pregnancy), national origin, age (40 or older), disability, veteran status or genetic information.

Investigate any criminal records I may have, as such potential convictions would have a direct bearing on the position for which I am considered, in accordance with the NYS Division of Human Rights and the NYS Division of Criminal Justice Services.

Obtain all information that any educational institutions may have concerning me.

I understand that:

I may be denied employment due to prior criminal conviction, when, after Grace Community Church has weighed the factors in good faith set out in the NYS Correction Law and the NYS Division of Human Rights, on a case by case basis, Grace Community concludes that in a particular case, there is a direct relationship between the job duties and the offense, and therefore, employment would impose an unreasonable risk to property or to the welfare or safety of others.

This application will be used for employment consideration, but does not guarantee my employment with Grace Community Church.

My application will remain on file or a period of one (1) year.

Misrepresentation or omission of facts on this application is cause for immediate denial or dismissal of employment.

Both Grace Community Church and I will be free to terminate my employment at any time, with or without cause.

I hereby release Grace Community Church and it’s agents from any and all claims, liability and/or demands for any damages resulting from such investigation.

I certify that the foregoing information is true and complete to the best of my knowledge.

Date

MonthDayYear

Signature*

Print Full Name*

First NameLast Name

Thank you so much for applying to Grace Community Church. You will be contacted by email by our Human Resource Department.

Applicant Information

Education and/or Specialty Training

Employment History

Employer 1

Employer 2

Employer 3

Skills Summary

References

Reference 1

Reference 2

Authorization