Minnesota Council of Churches Application for Employment 1 3/27/2015
APPLICATION FOR EMPLOYMENT
(P
LEASE PRINT OR TYPE)
Date of Application:
Position applied for:
Where did you see or how did you learn of this opening? _______________________________________________
Name
First Middle Last
Address
Street
City
State
Zip
Home Phone Cell Phone
Email address
A. EMPLOYMENT HISTORY/Volunteer Activity -
Current or most recent employment or volunteer activity.
1. Name of Employer
Address:
Dates of your employment: From To
Position/Title
How long have you held this position?
Briefly describe your responsibilities
Are you employed on a full time or a part time basis?
To whom do/did you report?
What is this person's job title?
May we contact this person for a reference? Telephone number?
2. Name of Employer
Address:
Dates of your employment: From To
Position/Title
Minnesota Council of Churches Application for Employment 2 3/27/2015
How long have you held this position?
Briefly describe your responsibilities
Are you employed on a full time or a part time basis?
To whom do/did you report?
What is this person's job title?
May we contact this person for a reference? Telephone number?
3. Name of Employer
Address:
Dates of your employment: From To
Position/Title
How long have you held this position?
Briefly describe your responsibilities
Are you employed on a full time or a part time basis?
To whom do/did you report?
What is this person's job title?
May we contact this person for a reference? Telephone number?
P
lease describe any other employment or volunteer experience.
Summarize any other special skills and/or qualifications acquired from employment or other experience.
Minnesota Council of Churches Application for Employment 3 3/27/2015
B. EDUCATION
High School
Name
City
Did you graduate? Yes No GED? Yes No
College/University
Name City State
Degree
Brief description of course of study
Graduate School
Name
Degree
Brief description of course of study
Please describe other educational accomplishments.
Current licenses or certificates held
Languages spoken (if applicable)
City
State
State
Minnesota Council of Churches Application for Employment 4 3/27/2015
C. REFERENCES
- Give three references (not related to you)
Note: References will not be contacted until initial screening process is completed.
Name Address Phone Relationship
AGREEMENT
I h
ereby authorize investigation of all statements contained in this application. I agree that if any misrepresentation
or omission has been made by me herein or the results of an investigation are not satisfactory for any reason, any offer
of employment made to me by the MCC may be terminated immediately. I further agree that MCC will have no
obligation or liability to me except to pay me, at the rate agreed upon, for services actually rendered if I have been
employed.
I a
lso authorize the companies, schools or persons named above to give any information regarding my employment,
character and qualifications, and hereby release said companies, schools, or persons from any liability for any damage
for issuing this information.
I und
erstand that nothing contained in this employment application or in the granting of an interview is intended to
create an employment contract between MCC and myself for either employment or the providing of any benefit. No
promises regarding employment have been made to me, and I understand that no such promise or guaranty is binding
upon MCC unless made in writing. If an employment relationship is established, I understand that I have the right to
terminate my employment at any time for any reason or no reason, and MCC retains the same right regarding the
discontinuation of my employment.
I he
reby acknowledge that I have read and understand the foregoing.
Signature of Applicant Date
click to sign
signature
click to edit