BSUMC Employment Application

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Followers of Jesus: Loving God, Loving Others, Serving the World

APPLICATION FOR EMPLOYMENT - BSUMC

Braddock Street United Methodist is an equal opportunity employer.  This facility is dedicated to providing a work environment free of discrimination including, but not limited to race, color, creed, religion, age, sex, national origin, marital, or military status.  The purpose of soliciting information is to assess the applicant's abilities to perform job duties and responsibilities.

PERSONAL INFORMATION

Full Legal Name:*
Daytime Phone:*
-
Address:*
Positions Applying/Applied for::*

EDUCATION/TRAINING HISTORY:

High School:
Diploma/GED/Year:
College University:
Diploma/Degree(s) Earned:
Graduate Degree:
Graduate School:
Year completed:
Other Training/Conference Certification:

EMPLOYMENT HISTORY - Latest First:

Dates Employed from:
To:
Employer:
Supervisor:
Phone Number:
-
Position Held:
Reason for Leaving:
Dates Employed from:(1)
To:(1)
Employer:(1)
Supervisor:(1)
Phone Number:(1)
-
Position Held:(1)
Reason for Leaving:(1)

PERSONAL REFERENCES: (Please do not list relatives)

Name:*
Phone :*
-
Relationship:*
2-Name:*
2 Phone :*
2- Relationship:*


Have you ever been convicted of any crime (misdemeanor or felony)
or the founded complaints of child abuse or neglect?

Select:
If yes, please explain:

I understand that by signing this application I give my permission for Braddock Street United Methodist Church to check my personal reference, perform required background investigations, and verify my work history with all former employers listed on this application.  I also agree that said employers may release any information that is pertinent to my work history and performance.

In addition, I certify that all information contained in this application is true and correct to the best of my knowledge.  I understand that falsified statements or misrepresentation of information on this application or omission of any information sought can be grounds for rejection, or if I am employed, can be grounds for immediate termination.

Signature:
Date:
Recaptcha Word Verification: