Phone number
Phone type Mobile Home Work Other
Phone number
Phone type Mobile Home Work Other
Do you currently attend Community Church? *
Are you able to perform the essential functions of the ministry position for which you are applying with or without reasonable accommodation?
Are you a United States citizen or alien legally authorized to work in the United States? *
Have you ever been convicted of, or pled guilty or no contest to a crime other than a minor traffic violation, or are you now under charges for any criminal offense? *
A criminal conviction will not necessarily disqualify you from consideration for employment.
List each place of residence for the past five years
Please provide the street address, city, state and the length of stay at that address (years/months)
1. Current or last Employer *
Please provide the Company or Person's name, phone number, address and the name of your Supervisor or Contact person for reference.
Job Description *
Please provide your title and duties with the employer listed above. Also, your start date, end date, salary and reason for leaving.
2. Current or last Employer
Please provide your title and duties with the employer listed above. Also, your start date, end date, salary and reason for leaving.
Job Description
Please provide your title and duties with the employer listed above. Also, your start date, end date, salary and reason for leaving.
3. Current or last Employer
Please provide your title and duties with the employer listed above. Also, your start date, end date, salary and reason for leaving.
Job Description
Please provide your title and duties with the employer listed above. Also, your start date, end date, salary and reason for leaving.
Please select the highest level of Education completed: *
Select… 10th grade 11th grade 12th grade GED College 1 yr College 2 yr College 3 yr College 4 yr Graduate School 1 yr. Graduate school 2 yr. Graduate School 3 yr. Graduate School 4 yr.
List all High schools, colleges, universities, and seminaries attended, beginning with the most recent
Please provide the school name, city & state, dates attended (from: mo/yr to: mo/yr), Graduated (yes or no) and Degree/major
Ministerial Status
Please select from the following:
Select… Ordained Licensed Commissioned
If you have been ordained, licensed or commissioned, please provide the name, address and phone number of body granting ministerial credentials
List any additional training or experience you have had that qualifies you for the position you are seeking, including any professional license or certification:
List below two persons with knowledge of your professional and/or ministerial skills and experience. Do not list relatives.
Please provide the contact information for your references
Notes or Additional Information
In consideration of the receipt and evaluation of this application by the church, I agree and represent that:
• The information contained in this application is correct to the best of my knowledge. I understand and agree that providing false or misleading information on this application is grounds for my immediate dismissal, if I am hired. • I authorize any references, schools, current or former employers, current or former supervisors, churches or denominational agencies, or any other person or organization, whether or not identified in this application, to give you any information (including opinions) regarding my character and fitness for employment. I hereby release any individual, employer, church, denominational agency or official, reference, or any other person or organization, including record custodians, both collectively and individually, and whether or not identified in this application, from any and all liability for damages of whatever kind or 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, excepting only the communication of knowingly false information. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. A facsimile or photocopy of this authorization shall be as valid as the original. Should my application be accepted, I agree to be bound by the bylaws and policies of Community Church, and refrain from any conduct in violation of the church’s teaching. I understand and agree that nothing contained in this application for employment or in any pre-employment interview is intended to or shall create a contract between myself and Community Church for either employment or the providing of any benefit. I further understand that a criminal records check may be conducted on me, and I consent to any such check. Please check below whether or not you want to waive any right that you may have to inspect any information provided about you by any person or organization described above.
I HAVE READ AND UNDERSTAND THE ABOVE PROVISIONS, AND AGREE TO THEM. THIS IS A LEGAL DOCUMENT AND I UNDERSTAND THAT I MAY CONSULT WITH AN ATTORNEY PRIOR TO SIGNING IT. *
By typing my name here I am consenting that this is equivalent to my written signature
Submit