Employment Application

February 16, 2023

Everyone, everywhere, experiencing Jesus.

Fellowship Bible Church
480 W. Crossville Road
Roswell, GA 30075
770.992.4956 | www.fellowshiproswell.org

Name*

Email*

Phone*( ) -

Address*

Date of Birth*

Marital Status*

Position Applying For*

Are You Eligible for Employment in the U.S.? If no, please explain.*

How Long Have You Been a Resident of Georgia?*

If Less Than Seven Years, List Previous Residences*

State, Country, Dates of Residence

How Did You Learn About Our Organization?*

Education

High School

List Name of School, City, State, and Year Completed.

College

List Name of School, City, State, and Year Completed.

Graduate School

List Name of School, City, State, and Year Completed

Seminary

List Name of School, City, State, and Year Completed

Other School

List Name of School, City, State, and Year Completed

Continuing Education

List Any Licenses, Certificates, Languages, Computer Skills, Software Proficiencies, Development Training, Volunteer Work / Mission Trips Add completion or expiration dates.

Employment History

Begin with most recent employment.

Organization Name*

Address*

Supervisor*

Name/Title/Phone

Dates Employed*

Salary*

Job Title & Type of Work*

Reason for Leaving*

May We Contact This Employer?*

Yes

Organization Name*

Address*

Supervisor*

Name/Title/Phone

Dates Employed*

Salary*

Job Title & Type of Work*

Reason for Leaving*

May We Contact This Employer?*

Yes

Have you ever been suspended or discharged from any position by any employer?*

Have you ever been arrested for any criminal offense? If so, please explain:*

Have you ever been accused of or charged with domestic violence? If so, please explain*

Have you ever been accused of or charged with child abuse or molestation? If so, please explain:*

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

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

Personal References

Not former employers or relatives.

Fellowship Bible Church is committed to checking references when processing each prospective worker’s initial application.

Personal References*

List full name, occupation, address, and phone number of each reference.

FBC Employment Application Waiver and Consent:

Please sign name below.

I hereby certify that the information I have provided on this application for employment is true and correct. I authorize this church to verify the information I have provided on this application by contacting the references and employers I have listed, by conducting a criminal records check, or by other means, including contacting others whom I have not listed. I authorize the references and employers listed in this application to give you whatever information they may have regarding my character and fitness for the job for which I have applied. Furthermore, I waive any rights I may have to confidentiality.
In the event that my application is accepted and I become employed by Fellowship Bible Church
of Roswell, Inc. (herein referred to as FBC), I agree to abide by and be bound by the policies of FBC. I understand that submission of an application does not guarantee employment. I understand that none of the documents, policies, procedures, actions, statements of FBC or its representatives used during the employment process is deemed a contract of employment real
or implied. I understand that no representative of FBC has the authority to enter into any agreement
guaranteeing any conditions of employment or any agreement contrary to the foregoing
statements and that any such agreements must be made in writing and signed by the Human Resources Director of FBC.
I have read this waiver and the entire application, and I am fully aware of its contents.

Name*

Date*

Please leave this field blank.

Employment Application

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