First United Methodist Church - Clover Sites



University United Methodist Church1120 S. Harrison RoadEast Lansing, MI 48823APPLICATION FOR EMPLOYMENT: NON-CLERGY STAFFThis is a general application for a variety of positions. Please fill out as much information as possible, and do not worry if a specific question does not pertain to you. Only job related information will be considered in our decision to accept or reject your application for employment. All information will be treated in a confidential manner. Your application will be considered to be active for a period not to exceed 180 days. It is your responsibility to provide evidence of qualifications, as required by the position for which you have applied, prior to being considered for an interview.PERSONAL INFORMATION:Name: ____________________________________________ Date_____________________Last First MiddleAddress: ____________________________________________________________________ StreetCityState ____________________________________________________________________Home Phone #Cell Phone # Business Phone #POSITION DESIRED:For which position are you applying? _________________________________________Full-time __ Part-time __Hours: ____________________________________EMPLOYMENT INFORMATION:May we contact your present employer? Yes____ No____ Name:______________________Person to contact: ____________________________________Tel. No. ______________If applicable, why do you wish to leave your present position?Are you at least 18 years of age ? Yes____ No____Do you have authorization to work in the United States? EDUCATION:Name and LocationType of DegreeDateGPAMajorMinoror DiplomaGrantedHigh SchoolxxxxUnderGraduateGraduate WorkAny additional training? ________________________________________________________________________________________________________________________________________________WORK EXPERIENCE IN CHURCHES:Name and Location of ChurchPositionDatesReasonDescription of DutiesFrom-tofor leaving Add separate sheet if necessary.OTHER WORK EXPERIENCE (INCLUDING MILITARY):Name of Company (Service)PositionDatesReason for Description of dutiesFrom –toLeaving Add separate sheet if necessary.Any additional skills, experience or special interests relevant to this position? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Is there any accommodation needed to perform the essential functions of the job for which you are applying? Yes__ No__ If yes, please describe: _______________________________________________________________________________________________________________________________Have you ever been dismissed from employment? Yes__ No__ If yes, please explain: ______________________________________________________________________________________________________________________________________________________________________References:List persons under whom you have worked and others who have knowledge of your character, personality, and ability. Please do not list relatives.Name and TitleMailing AddressTelephoneEmail addressDescribe why you are interested in this position:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Notice To All ApplicantsBefore any applicant may begin work, the person must be able to verify, under Federal Law, that he or she is authorized to work in the United States. All applicants offered a position with University United Methodist Church will have to document their authorization to work before the hiring process will be complete.All applicants are being notified at this time that, if selected for hire, it will be their responsibility to provide University United Methodist Church with documentation showing their right to work. University United Methodist Church is giving you this notice so you may have those documents ready if you should be offered a position. The documents will be reviewed at the time a conditional offer of employment is made.Notice of Handicapper RightMichigan law requires that you notify University United Methodist Church in writing within 182 days after you know or should have known that an accommodation for a handicap will be necessary to permit you to perform the duties of the position for which you are applying.APPLICANT’S CERTIFICATION AND AGREEMENTREAD THE FOLLOWING CAREFULLY BEFORE SIGNING THIS APPLICATION FOR EMPLOYMENTCertification of Truthfulness:I certify that all statements on this Application for Employment are made truthfully and without evasion, and further understand and agree that such statements may be investigated and, if found to be false, will be sufficient reason for not being employed or, if employed, may result in dismissal.Authorization for Employment Information:I authorize University United Methodist Church to conduct an investigation of me, including but not limited to all statements made by me in this application. I authorize all sources of information (the references I have listed or any prior or current employer of mine) or anyone else contacted by University United Methodist Church to give the Church any and all information concerning me and my previous employment or accomplishments, including any disciplinary information and any other information they may have, personal or otherwise. I release all sources of information from all liability for any damage that may result from furnishing information to University United Methodist Church. Also, I hereby waive written notice to me that employment information is being provided by any person or organization. A photo static copy of this Authorization, Release and Waiver shall be considered as effective and valid as the original.Physical Examination and Testing:I agree to submit myself, upon request, for physical examination by a physician selected by the Church and to execute appropriate releases for that purpose. In addition, I agree to submit to a pre-employment substance-screening test. I also agree to participate in any aptitude or other testing the Church believes will assist in hiring decisions.Criminal Records Check:I agree to authorize University United Methodist Church to secure criminal conviction history and any record of referrals to first offender programs from the appropriate law enforcement agency, should the Church determine it is necessary to do so.______________________________________________________ Date: ______________Applicant SignatureFor Applications for Any Positions Involving Contact with Children and YouthI hereby certify in good faith that a case of abuse or neglect has not been substantiated against me nor have I been named the Respondent in any petition which is pending for child abuse or neglect in either the juvenile or in criminal court on a felony charge. I also certify that I have not been convicted of a crime nor are felony charges pending against me. I understand that by falsely signing this certification or if subsequent to my employment a case of abuse or neglect is substantiated against me or I am charged in criminal court for abuse or neglect, I may be subject to discharge from employment._________________________________________________Date:___________________Applicant SignatureReturn all application materials to: University United Methodist Church1120 S. Harrison RoadEast Lansing, MI 48823517-351-7030 ................
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