Job Application
To complete the application process, please send your resume and cover letter to
I am applying for the position of *
First Name *
Last Name *
Middle Initial or Name
Address *
City *
State *
Zip *
Phone Number *
Email Address *
How did you hear about this position? *
Indicate the date or timeframe you are available to begin if offered this position.
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *
Have you been convicted of a felony within the last 7 years? *
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.
Are you a member or regular attender of Kelloggsville Church? *
If no, please list the church you most recently attended and length of time attending:
Personal References (Non-relatives, employers, supervisors, or church co-workers may be included. ) *
Minimum of 2 references. Please include: Name, Address, Phone, Email, and how you know them.
Do you have a driver's license? *
We will review your education and work experience on your resume. May we contact your most recent employer? *
Contact Information for Most Recent Employer
Please include: Business Name, Business Addresss, Supervisor, Supervisor's Phone, Supervisor's Email
I certify that the information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment if I am hired. I authorize the verification of any and all information listed above. *
--Applicant Authorization: Enter your name to signify your agreement--
Date Signed/Submitted Application *
Next Step: Please submit your resume and cover letter to
Kelloggsville Church is an equal opportunity employer
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