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Program Ministry Staff Application
POSITION INFORMATION
Position(s) Applied For:
*
Date of Application:
*
Select the date.
PERSONAL INFORMATION
Full Name:
*
Enter your full name.
Address (Street, City, State, ZIP):
*
Primary Phone:
*
Other Phone:
Email:
*
Date Available to Start:
*
Select the date.
Desired Salary Range:
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Type of employment desired:
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Full-Time
Part-Time
Temporary
Are you able to meet the attendance requirements for this position?
*
Yes
No
Have you ever pled “Guilty” or “No Contest” to, or been convicted of a crime?
Yes
No
If yes, explain (include dates):
*
Employment History - List your last 2 employers or volunteer roles, starting with the most recent
Employer #1
*
Dates of Employment -Start
*
Please list the month and year for the dates of employment
Dates of Employment -End
*
Please list the month and year for the dates of employment. List current for ongoing employment.
Address
*
Phone
*
Job Title
*
Supervisor
*
Job duties & responsibilities:
*
May we contact?
*
Yes
No
Reason for leaving
*
Ending Pay
*
Employer #2
*
Dates of Employment -Start
*
Please list the month and year for the dates of employment
Dates of Employment -End
*
Please list the month and year for the dates of employment. List current for ongoing employment.
Address
*
Phone
*
Job Title
*
Supervisor
*
Job duties & responsibilities:
*
May we contact?
*
Yes
No
Reason for leaving
*
Ending Pay
*
Skills and Qualifications
List any training, skills, licenses, or certificates relevant to the job:
*
Education
School
*
High School
Name & Location
*
Years Completed
*
This can be a number
Did You Graduate?
*
Yes
No
School
*
College
Name & Location
*
Years Completed
*
This can be a number
Did You Graduate?
*
Yes
No
Course of Study
*
Major/Degree
School
Other
Name & Location
Years Completed
This can be a number
Did You Graduate?
Yes
No
Course of Study
Major/Degree
References
Please include three references including their Name, Phone, and Email.
*
Applicant Statement
I certify that all information provided is true and complete. I understand that false or misleading information may result in disqualification or dismissal. I authorize the employer to verify all information.
Your employment with FUMC Dothan will be on an at-will basis, meaning you or the church may terminate your employment at any time, with or without cause or advance notice. This application is not a contract indicating employment terms or duration.
Submit
