CreekHelp | HR - Application for Employment

CURRENT STATUS

What is your status? *

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 *

Last Name *

Email *

Were you referred by a current employee?

Yes

No

Referrer's Name

PERSONAL INFORMATION

First Name *

Last Name *

Date

Address *

City *

State *

Zip *

County of Residence *

Home Phone *

Cell Phone *

Email *

Are you at least 18 years or older? *

Yes

No

Are you eligible to work in the U.S? *

Yes

No

Have you ever been terminated from employment or asked to resign by an employer? *

Yes

No

Have you ever been convicted of a crime? If yes, please explain *

Yes

No

Explain *

Have you ever been arrested for a felony? If yes, please explain *

Yes

No

Explain *

Are you aware of having any traits or tendencies that could pose any threat to children, youth or others? If yes, please explain *

Yes

No

Explain *

Are you aware of any reason why you should not work with children, youth or others? If yes, please explain *

Yes

No

Explain *

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 *

Yes

No

Explain *

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 *

EMPLOYMENT DESIRED

Position Applying For: *

Campus *

Date you can start *

Availability *

Part Time

Full Time

Hours Per Week: *

Salary Desired: $ *

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? *

Yes

No

Have you discussed this with your Supervisor? *

Yes

No

Have you discussed this with the Internship Director? *

Yes

No

Have you discussed this with your Mentor? *

Yes

No

What is the main reason you are interested in another position at CedarCreek?

Within the next 2 weeks, what are 3 dates and time ranges you could be available for an interview?

EDUCATION HISTORY

HIGH SCHOOL

Name of School *

Address of School *

Years Attended *

Did You Graduate *

Yes

No

COLLEGE OR UNIVERSITY

Did You Attend College or University *

Yes

No

School Info:

Name of School *

Address of School *

Years Attended *

Did You Graduate *

Yes

No

Major/Minor/Field of Study *

Add Remove

TRADE, BUSINESS OR CORRESPONDENCE SCHOOL

Did You Attend Trade, Business or Correspondence School *

Yes

No

School Info:

Name of School *

Address of School *

Years Attended *

Did You Graduate *

Yes

No

Subject Studied *

Add Remove

CURRENT EMPLOYER

Are you Currently Employed? *

Yes

No

Name of Employer *

Address of Employer *

Start Date *

Position *

Salary $ *

Name of Direct Supervisor *

Reason for wanting to leave *

FORMER EMPLOYERS

(list below last four employers, starting with the most recent one first)

From Date *

To Date *

Position *

Name of Employer *

Address of Employer *

Salary $ *

Name of Direct Supervisor *

Reason for leaving *

Add 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?

Yes

No

Can we contact them?

Name

First

Last

Phone

Email

Address

Business Name

Relationship

Years Known

From a previous employer:

Name

First

Last

Phone

Email

Address

Business Name

Relationship

Years Known

From a previous employer:

Name

First

Last

Phone

Email

Address

Business Name

Relationship

Years Known

From a personal relationship:

Name

First

Last

Phone

Email

Address

Business Name

Relationship

Years Known

SOCIAL MEDIA PROFILES

Facebook

X (Twitter)

Instagram

Other

ATTACH COVER LETTER *

Maximum file size: 20MB

ATTACH RESUME *

Maximum file size: 20MB

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.

Signature *

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Submitted: *

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