Sample Employment Application Form PLEASE PRINT ALL APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS PLEASE COMPLETE PAGES 1-4. DATE Name Last First Middle Maiden Present address Number Street City State Zip How long Social Security No. Telephone ( ) If under 18, please list age Position applied for (1) and salary desired (2) (Be specific) Days/hours available to work No Pref Thur Mon Fri Tue Sat Wed Sun How many hours can you work weekly? Can you work nights? Employment desired FULL-TIME ONLY PART-TIME ONLY FULL- OR PART-TIME When available for work? TYPE OF SCHOOL NAME OF SCHOOL LOCATION (Complete mailing address) High School College Bus. or Trade School Professional School NUMBER OF YEARS COMPLETED MAJOR & DEGREE HAVE YOU EVER BEEN CONVICTED OF A CRIME? No Yes If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
PLEASE PRINT ALL DO YOU HAVE A DRIVER S LICENSE? Yes No What is your means of transportation to work? Driver s license number State of issue Operator Commercial (CDL) Chauffeur Expiration date Have you had any accidents during the past three years? Have you had any moving violations during the past three years? How many? How Many? OFFICE ONLY Yes Yes Word Yes Typing No WPM 10-key No Processing No WPM Personal Yes PC Computer No Mac Other Skills Please list two references other than relatives or previous employers. Name Position Company Name Position Company Telephone ( ) Telephone ( ) An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
PLEASE PRINT ALL MILITARY HAVE YOU EVER BEEN IN THE ARMED FORCES? Yes No ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? Yes No Specialty Date Entered Discharge Date Work Experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. Your last job title Your Last Job Title
PLEASE PRINT ALL Work experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. Your last job title Your last job title May we contact your present employer? Yes No Did you complete this application yourself Yes No If not, who did?
BUILDINGS CUSTODIAN The buildings custodian is responsible for keeping the church buildings clean and orderly. In the event of weddings, funerals and other nonchurch sponsored events, the event host will be responsible for paying for the custodian s services. Church policy will dictate fees. Ministry Area/Department Position Accountable Ministry Target Position Is Position May Be Filled By Minimum Maturity Level Spiritual Gifts Gender/Marital Status Talents or Abilities Desired Best Personality Traits Passion For Length of Service Commitment Buildings and grounds Buildings custodian Pastor Church in general Paid staff Other approved individual New, growing Christian Serving Single or married, male only* (or families) Able to perform light to moderate physical labor necessary in cleaning church facilities including going up and down stairs into attic to bring down supplies Detailed Hardworking Conscientious Not offended by other people s messes Able to take direction and/or correction without personal offense Good stewardship of the facilities God has given the church Presenting a positive physical appearance of the church in the community One year minimum See next page for Anticipated Time Commitments and Responsibilities/Duties * Married staff will not be alone in the church building with opposite gender.
ANTICIPATED TIME COMMITMENTS 1. Doing ministry/preparing for ministry: Minimum 25 hours per week. 2. Participating in meetings/training: Maximum two hours a month. RESPONSIBILITIES/DUTIES 1. Facilities shall be presentable on Monday by 11 am, Thursday by 11 am, and on Saturday by 7 pm. 2. Inform Administrative Assistant when cleaning or kitchen supplies are low or when equipment or facilities need repair. 3. Clean church after all church services and functions. 4. Dust furniture in offices, reception areas, visitor center, sanctuary and entrances. 5. Vacuum offices and carpeted areas weekly, or more often if needed. Dust-mop, sweep or vacuum other areas as needed. 6. Clean/disinfect drinking fountains and telephone mouthpieces weekly. 7. Clean cobwebs from ceilings, corners, vents, fans, etc. twice monthly. 8. Thoroughly clean restrooms weekly. Check them after each event and reclean if necessary includes cleaning toilet bowls, urinals, partitions, tiled walls, mirrors and floors and refilling soap, towel and toilet paper dispensers, making sure toilet paper and paper towels are available and emptying trash and sanitary containers. 9. Clean windows and glass doors after each church event. 10. Replace light bulbs. Turn off nonrequired lights. 11. Water plants as needed. 12. Pick up litter. Police the grounds. 13. Check all areas for odors. Clean/disinfect as necessary. 14. Clean up after church-sponsored special events. 15. Clean up accidents as needed: spills, stomach upset, etc. 16. Clean, fill and straighten chair backs 17. Wipe off Dry Erase Boards 18. Clean platform throw away all paper that is not three hole punched 19. Assure that thermostats are properly set to run the proper program (heat or air) 20. Assure that all window blinds are fully open 21. Restock kitchen and bathrooms. 22. Monthly Cleaning will include: a. Clean white tables (that are set up) and counter tops b. Clean Metal Bathroom doors, auditorium doors, door handles, bathroom fixtures c. Clean glass in the interior doors d. Wipe down all countertops, kitchen, bathroom, nursery, desks, and tables that are set up e. Wipe down and disinfect microwave, fridge, freezer, ice machine 23. Quarterly cleaning will include carpet cleaning.