Application for Employment
CURRENT STATUS
What is your status?
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I am a new applicant.
I am currently an intern at CedarCreek Church.
I am currently employed by CedarCreek Church and interested in a new position.
First Name
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Last Name
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Email
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Were you referred by a current employee?
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Yes
No
Referrer's Name
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PERSONAL INFORMATION
First Name
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Last Name
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Date
Address
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City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
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County of Residence
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Home Phone
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Cell Phone
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Email
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Are you at least 18 years or older?
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Yes
No
Are you eligible to work in the U.S?
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Yes
No
Have you ever been terminated from employment or asked to resign by an employer?
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Yes
No
Have you ever been convicted of a crime? If yes, please explain
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Yes
No
Explain
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Have you ever been arrested for a felony? If yes, please explain
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Yes
No
Explain
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Are you aware of having any traits or tendencies that could pose any threat to children, youth or others? If yes, please explain
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Yes
No
Explain
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Are you aware of any reason why you should not work with children, youth or others? If yes, please explain
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Yes
No
Explain
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Have you ever voluntarily participated in, been accused or convicted of, or pleaded guilty or no contest to any abuse or sexual misconduct? If yes, please explain
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Yes
No
Explain
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Certain lifestyle choices may make it inappropriate for you to serve on staff or may compromise the integrity of CedarCreek Church. Please explain any current areas in your life which you believe may be important in considering your application, including, destructive, addictive behaviors such as, but not limited to, excessive drinking, substance abuse, and sexual sins such as sex outside of marriage, adultery, and pornography. Also, relationally destructive behaviors such as dishonesty, gossip, unteachable heart, or an unforgiving spirit
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EMPLOYMENT DESIRED
Position Applying For:
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Campus
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Central Support
Findlay
Oregon
Perrysburg
South Toledo
West Toledo
Whitehouse
Date you can start
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Availability
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Part Time
Full Time
Hours Per Week:
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Salary Desired: $
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Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?
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Yes
No
Have you discussed this with your Supervisor?
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Yes
No
Have you discussed this with the Internship Director?
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Yes
No
Have you discussed this with your Mentor?
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Yes
No
What is the main reason you are interested in another position at CedarCreek?
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Within the next 2 weeks, what are 3 dates and time ranges you could be available for an interview?
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EDUCATION HISTORY
HIGH SCHOOL
Name of School
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Address of School
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Years Attended
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Did You Graduate
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Yes
No
COLLEGE OR UNIVERSITY
Did You Attend College or University
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Yes
No
School Info:
Name of School
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Address of School
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Years Attended
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Did You Graduate
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Yes
No
Major/Minor/Field of Study
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TRADE, BUSINESS OR CORRESPONDENCE SCHOOL
Did You Attend Trade, Business or Correspondence School
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Yes
No
School Info:
Name of School
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Address of School
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Years Attended
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Did You Graduate
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Yes
No
Subject Studied
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minus1
Remove
CURRENT EMPLOYER
Are you Currently Employed?
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Yes
No
Name of Employer
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Address of Employer
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Start Date
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Position
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Salary $
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Name of Direct Supervisor
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Reason for wanting to leave
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FORMER EMPLOYERS
(list below last four employers, starting with the most recent one first)
From Date
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To Date
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Position
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Name of Employer
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Address of Employer
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Salary $
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Name of Direct Supervisor
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Reason for leaving
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Add
minus1
Remove
REFERENCES
(Please provide references who are not related to you for the following.)
From your current employer:
Is your current employer aware you are seeking a new job?
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Yes
No
Can we contact them?
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Name
*
Name
First
First
Last
Last
Phone
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Email
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Address
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Business Name
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Relationship
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Years Known
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From a previous employer:
Name
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Name
First
First
Last
Last
Phone
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Email
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Address
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Business Name
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Relationship
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Years Known
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From a previous employer:
Name
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Name
First
First
Last
Last
Phone
*
Email
*
Address
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Business Name
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Relationship
*
Years Known
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From a personal relationship:
Name
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Name
First
First
Last
Last
Phone
*
Email
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Address
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Business Name
Relationship
*
Years Known
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SOCIAL MEDIA PROFILES
Facebook
X (Twitter)
Instagram
LinkedIn
Other
ATTACH COVER LETTER
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ATTACH RESUME
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AUTHORIZATION
I certify that the information contained in this application is true and correct to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize any references listed in this application (unless indicated otherwise) to give CedarCreek Church any information (including opinions) that they may have regarding my character, fitness for work and to independently verify the correctness of the information I have provided. In consideration of the receipt and evaluation of this application by CedarCreek Church, I hereby release any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually from any and all liability for damages of whatever kind of nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization in this application. A criminal background check performed by a state law enforcement agency is required for all potential employees. Any person who may pose a threat to children, youth or vulnerable adults will be prohibited from working in any ministry involving children, youth or vulnerable adults. Should my application be accepted, I agree to refrain from unscriptural conduct in the performance of my service on behalf of CedarCreek Church. I further state that I have read the foregoing release and know the contents thereof and sign this release as my own free act. This is a legally binding agreement, which I have read and understand.
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