APPLICATION FOR EMPLOYMENT
Waukegan Community Church
1016 Grand Avenue · Waukegan, IL 60085
Attention: Human Resources
Position Desired Date Applied
Full-Time Part-Time (Hours desired per week) Anticipated Compensation
Name Social Security No. - -
FIRST MIDDLE LAST
Address City State ZIP CODE
Home Phone ( ) - Work Phone ( ) - email
Have you ever been convicted of a felony or a misdemeanor? Yes No If yes, explain in writing
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EDUCATION AND TRAINING
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TYPE OF SCHOOL
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NAME/LOCATION
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YEARS COMPLETED
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HONORS RECEIVED: DIPLOMA/DEGREE
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COURSE OF STUDY
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Jr. High/
High School
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Trade, Business, or Technical
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College or University
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Graduate or Professional
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Please attach your resume and complete the employment information in this section for at least the last five years.
Present Employer Phone Number ( ) -
Address City State ZIP CODE
Position(s) held
Employment dates: Starting Ending Starting Pay $ Ending Pay $
Supervisor/Manager May We Contact Yes No
Reason for Leaving
Description of Primary Responsibilities
Past Employer Phone Number ( ) -
Address City State ZIP CODE
Position(s) held
Employment dates: Starting Ending Starting Pay $ Ending Pay $
Supervisor/Manager May We Contact Yes No
Reason for Leaving
Description of Primary Responsibilities
Past Employer Phone Number ( ) -
Address City State ZIP CODE
Position(s) held
Employment dates: Starting Ending Starting Pay $ Ending Pay $
Supervisor/Manager May We Contact Yes No
Reason for Leaving
Description of Primary Responsibilities
Past Employer Phone Number ( ) -
Address City State ZIP CODE
Position(s) held
Employment dates: Starting Ending Starting Pay $ Ending Pay $
Supervisor/Manager May We Contact Yes No
Reason for Leaving
Description of Primary Responsibilities
Past Employer Phone Number ( ) -
Address City State ZIP CODE
Position(s) held
Employment dates: Starting Ending Starting Pay $ Ending Pay $
Supervisor/Manager May We Contact Yes No
Reason for Leaving
Description of Primary Responsibilities
First Reference Work Phone ( ) -
Length of Time Known Home Phone ( ) -
Relationship to you
Second Reference Work Phone ( ) -
Length of Time Known Home Phone ( ) -
Relationship to you
Third Reference Work Phone ( ) -
Length of Time Known Home Phone ( ) -
Relationship to you
Are you a born-again Christian? Yes No If yes, since when: Month Year
If yes, briefly describe below how you came to know Christ as your personal Savior.
Do you regularly attend our Worship Services? Yes No If yes, since when: Month Year
Do you regularly attend Sunday School? Yes No If yes, since when: Month Year
Are you a member of Waukegan Community Church? Yes No If yes, name of your small group leader
If you attend another church, which one?
In what areas of the church ministry do you currently participate?
In what areas of church ministry are you currently serving in a leadership role (i.e. Sunday School teacher, Youth Leader, etc.)?
If there is any additional information of which you feel the church should be aware, please explain below.
The undersigned applicant herby certifies that the information contained on this Application for Employment is true and correct, and I have not omitted any facts, which I reasonably believe would reflect unfavorably on the Church's decision to hire me. In addition, I hereby authorize the Church to contact any person or institution I have listed on this Application for Employment (unless indicated otherwise) and to independently verify the correctness of the information I have provided
Employment with the Church is for no definite period. Employment may be terminated by either the employee or the employer, at any time, with or without notice and with or without cause.
Full Name Yes, I have read and agree with the statement above. Date
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