Marilyn and Sarah

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MARILYN & SARAH / ENCOUNTER CHURCH
Covering the earth with the Word while connecting every one with the heart of God.
6825 South Galena Street, Centennial, CO 80112
Phone: 303-729-1476 • Fax: 303-729-1261
[email protected]

EMPLOYMENT APPLICATION
501(C)(3) Religious Organization Employer
Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.

Employment Application

MS Online Employment Application

Name *

First

Last

Date *

Email Address *

Phone Number *

Address *

City *

State *

Zip Code *

Are you 18 years or older? *

(If hired, you may be required to submit proof of age.)

Date Available For Employment *

Hours Available *

If hired, can you furnish proof you are eligible to work in the U.S.? *

Position Desired *

1st Choice

Position Desired

2nd Choice - If Applicable

Full Time or Part Time *

Please list the skills that best equip you for the position for which you are applying: *

How did you hear about this opportunity? *

What is your knowledge of Marilyn Hickey Ministries / Encounter Church? Why would you like to apply here? *

Have you applied here before? *

If Yes, under what name? And what Month and Year did you apply?

Have we previously employed you? *

If Yes, under what name, dates, and former position?

Are you now, or do you expect to be, engaged in any other business or employment? *

If Yes, please explain:

Do you have a valid driver’s license? (copy) *

Class of License *

State License Issued *

Have you ever been discharged or asked to resign from a job? *

If Yes, please explain (include dates):

Have you had any moving violations or your driver’s license suspended or revoked in the last three years? *

If Yes, please explain:

List the Cities/States in which you have resided: *

Do you have proof of Automobile Liability Insurance? *

EDUCATION *

List your HIGH SCHOOL. Please note if you Graduated and received your Diploma / Certificate / Degree.

Education *

List your COLLEGE or UNIVERSITY. Please note if you Graduated and received your Diploma / Certificate / Degree.

PROFESSIONAL LICENSES, REGISTRATIONS, AND/OR CERTIFICATIONS

Please list any Licenses, Certificates, and/or Professional, Trade, Business, or Civic Activities and Offices held that may qualify you to perform job-related functions in the position for which you are applying.

OFFICE & TECHNICAL SKILLS

Please list any Office and Technical Skills or Computer Programs that may qualify you to perform job-related functions in the position for which you are applying.

REFERENCES *

Please list two references, whom are not relatives or former employers. Please include their Name, Business, Years Known, as well as their Phone Number and Email Address.

EMPLOYMENT HISTORY

Account for all periods of time including military service and any period of unemployment. If self-employed, give company name and supply business references.

EMPLOYMENT HISTORY - COMPANY NAME: *

EMPLOYMENT HISTORY - ADDRESS: *

EMPLOYMENT HISTORY - CITY, STATE, ZIP: *

EMPLOYMENT HISTORY - SUPERVISOR NAME: *

EMPLOYMENT HISTORY - SUPERVISOR PHONE NUMBER: *

EMPLOYMENT HISTORY - DATES EMPLOYED: *

Please include Month and Year

EMPLOYMENT HISTORY - JOB TITLE: *

EMPLOYMENT HISTORY - REASON FOR LEAVING: *

* IF APPLICABLE

EMPLOYMENT HISTORY - JOB DUTIES: *

Comment or Message

EMPLOYMENT HISTORY - COMPANY NAME:

EMPLOYMENT HISTORY - ADDRESS:

EMPLOYMENT HISTORY - CITY, STATE, ZIP:

EMPLOYMENT HISTORY - SUPERVISOR NAME:

EMPLOYMENT HISTORY - SUPERVISOR PHONE NUMBER:

EMPLOYMENT HISTORY - DATES EMPLOYED:

Please include Month and Year

EMPLOYMENT HISTORY - JOB TITLE:

EMPLOYMENT HISTORY - REASON FOR LEAVING:

* IF APPLICABLE

EMPLOYMENT HISTORY - JOB DUTIES:

Comment or Message

Please attach a resume if you have had more than two employers OR if employment history listed above is less than two years. *

NOTE: The above information (including pay) must be completed even if attaching a resume.

APPLICANT PROFILE QUESTIONNAIRE

We seek committed Christian applicants who have a personal and vibrant relationship with Jesus Christ.

1. Describe your personal relationship with Jesus Christ. When did you come to know Jesus as Lord and Savior (become “born-again”) and how did this occur? *

2. Name and location of church you currently attend (beginning when?) *

3. Do you actively participate? If so, what activities? *

4. Describe your Bible study and prayer life: *

APPLICANT PROFILE QUESTIONNAIRE - Continued

5. The Bible as the Word of God: *

6. The Baptism of the Holy Spirit with evidence of speaking in tongues: *

7. Have you received this gift? If yes, please describe: *

8. Please list a person (non-relative) who is personally familiar with your Christian walk (pastor, cell group leader, etc.) *

Please include their Name • Title/Role • Phone Number • Email

I have read, understand, and consent to these statements. My typed name in the fields below shall have the same force and effect as my written signature. *

First

Last

Date Signed *

(If contacted for an interview, during the interview process you will be required to sign this Affidavit.)

Phone

AFFIDAVIT
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I understand that the employer may request an investigation consumer report from a consumer-reporting agency. This report may include information as to my character, reputation, personal characteristics, and mode of living obtained from interviews with neighbors, friends, former employers, schools, and others. I understand I have the right to make a written request within a reasonable time for the disclosure of the name and address of the consumer-reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations named in this application to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I understand that if I am extended an offer of employment, it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all-medical information as may be deemed necessary to judge my capability to do the work for which I am applying.

I understand I will be required to undergo a criminal background investigation, which may include fingerprint screening. I understand that I will be given a copy of the report if an adverse response is received from the background investigation.

I understand I may be required to pass a drug-screening examination. I hereby consent to a pre and/or post employment drug screen as a condition of employment, if required.

I agree to observe codes of Christian conduct and lifestyle. This includes, but is not limited to, pursuing a relationship with Jesus Christ, attending a worship service regularly, and abstaining from any immoral or criminal act. I agree to observe Marilyn Hickey Ministries/Encounter Church dress code.

I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT THE COMPANY CAN CHANGE WAGES, BENEFITS, AND CONDITIONS AT ANY TIME. IF I AM HIRED, MY EMPLOYMENT WILL BE EMPLOYMENT-AT-WILL UNDER COLORADO LAW, AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE.

AN EQUAL OPPORTUNITY EMPLOYER
We do not discriminate on the basis of race, color, national original, sex, age, or disability. As a religious organization, we reserve the right to consider religion in employment decisions in accordance with all controlling law. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Join together with a team that is building bridges and taking the gospel to all the nations.
If you have any questions, please call our Human Resources Team at 303-729-1476 or you can email us at [email protected].

Covering the earth with the Word while connecting every one with the heart of God.