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Application for the Presbytery of Lake Michigan
Last Name *
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First Name *
Your answer
Address *
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Cell Phone number
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Home or work phone number *
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Email Address *
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What position are you applying for?
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Date you are available to start
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Have you ever been convicted of or plead guilty to a crime, either as misdemeanor or felony (including but not limited to drug-related charges, child abuse, other crimes of violence, theft, or motor vehicle violations)? *
If yes, please explain
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Other information you feel we should know.
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I hereby certify that the information I have provided on this application for employment is true and correct. I authorize the Presbytery of Lake Michigan to verify the information I have provided by contacting the references and employers listed in my résumé, 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 my résumé 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 the Presbytery of Lake Michigan, I agree to abide by and be bound by the policies of the Presbytery and to refrain from inappropriate conduct in the performance of my duties on behalf of the Presbytery. I have read this waiver and am fully aware of its contents. I sign this consent freely and under no duress or coercion. *
Your information is being sent to: Presbytery of Lake Michigan; 1511 Helen Avenue; Portage, MI 49002 If you need to email information, please send it to: office@lakemichiganpresbytery.org
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