Faith Based Network Employment

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Website: jcfbn.org

Please briefly share your Christian testimony below

First Name as seen on your ID or DL *

Last Name as seen on your ID or DL *

Full Address (ex. 1234 North St, Madras 97741) *

Phone Number with area code (ex. 541-777-7777) *

May we text this number?

YES

Clear selection

Email Address

(Needed for paychecks, scheduling and direct deposits)

What position are you interested in? *

AM Shift Shelter Attendant (5:00AM - 1:30PM)

PM Shift Shelter Attendant (4:30PM - 11:00PM)

Overnight Shelter Attendant (10:30PM - 5:30AM)

Required

What kind of hours are you wanting? *

Part Time Hours

Full Time Hours

What days are you available to work?

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

Any certain hours on these days you are not available?

Have you previously worked or volunteered with us before?

YES

Clear selection

Highest Level of Education *

High School Diploma or GED

Some college in the past

Current College Student

College Degree

Other:

If you chose 'other' on the previous question, please explain.

Date available to start?

YYYY

I agree to allow FBN to make a copy of my ID or DL upon acceptance of a position. *

YES

I understand a background and pre employment drug (Including Marijuana) checks are required before a position will be offered. *

YES

Non-Relative Personal Reference #1

NAME AND PHONE PLEASE

Non-Relative Personal Reference #2

NAME AND PHONE PLEASE

Can you, upon conditional offer of employment, provide genuine documentation establishing identity
and eligibility to be employed in the Unites States? *

YES

I certify that all statements made in connection with this online form (whether contained herein (and/or in any
supplements) or made by me or others at my request during the course of the employment process) are true and complete in all respects. I acknowledge and agree that any incorrect, incomplete, false, fraudulent, or misleading statements made by me, either verbally or in writing, and/or any omission, concealment, or failure to answer any question fully, completely, and accurately, whether made by me or others at my request, will result in rejection of this application, denial of employment, or termination from employment if discovered after employment. *

YES

Clear form

Never submit passwords through Google Forms.

This form was created inside of Faith Based Network.

Does this form look suspicious? Report

Forms