Application

Westminster Presbyterian Church

 


PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE
APPLICATION FOR EMPLOYMENT
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          qFULL-TIME ONLY              qPART-TIME ONLY              qFULL- OR PART-TIME
When available for work?______________
________________________________________________________________________________________________
TYPE OF SCHOOL NAME OF SCHOOL LOCATION
(Complete mailing address)
NUMBER OF YEARS COMPLETED MAJOR & DEGREE
High School
College
Bus. or Trade School
Professional School
HAVE YOU EVER BEEN CONVICTED OF A CRIME? q No                      q 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. _______________________________________________
________________________________________________________________________________________________