Employment Application

Your Name(*)
Please let us know your name.

Telephone(*)
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Alternate Telephone
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Your Email(*)
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Address(*)
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City(*)
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State(*)
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Zip(*)
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Are you able to perform the essential functions of the position with or without accommodations?(*)
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If necessary for the job are you older than:(*)
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Please check one

I am seeking a permanent position:(*)
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I am able to report to work these amount of days after being hired(*)
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If necessary for the job, I am able to work overtime(*)
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If necessary for the job, I am able to provide a valid Florida Driver's License(*)
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Driver's License Issuing State
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Type of Driver's License
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Endorsements
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Work the following shifts (check all that apply)(*)
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EMPLOYMENT HISTORY List the most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section. No more than 10 years history recommended
Employment 1
Employer name and address(*)
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Pay(*)
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Position Title/Duties & Skills(*)
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Supervisor Name & Telephone(*)
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Start Date(*)

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End Date(*)

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Reason for Leaving(*)
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Employment 2
Employer name and address(*)
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Pay(*)
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Position Title/Duties & Skills(*)
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Supervisor Name & Telephone(*)
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Start Date(*)

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End Date(*)

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Reason for Leaving(*)
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Employment 3
Employer name and address
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Pay
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Position Title/Duties & Skills
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Supervisor Name & Telephone
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Start Date

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End Date

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Reason for Leaving
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Employment 4
Employer name and address
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Pay
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Position Title/Duties & Skills
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Supervisor Name & Telephone
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Start Date

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End Date

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Reason for Leaving
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Summarize other employment related to this job:
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EDUCATION
High School (Institution Name Years Completed Field of Study Graduate or degree)
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College/University (Institution Name Years Completed Field of Study Graduate or degree)
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Business/Technical (Institution Name Years Completed Field of Study Graduate or degree)
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Additional (Institution Name Years Completed Field of Study Graduate or degree)
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MILITARY
Are you a veteran?
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Duty/specialized training:
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SKILLS & QUALIFICATIONS
Other qualifications such as special skills, abilities, or honors that should be considered
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Type of computers, software, and other equipment you are qualified to operate or repair
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Professional licenses, certifications or registrations:
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Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employer's attention
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Typing speed per minute
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REFERENCES
List two personal references who are not relatives or former supervisors (include name, address, telephone, occupation and years known)
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CONTACT
In case of accident or illness, please contact: (include name, telephone, address, and relationship
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APPLICANT
As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above. By clicking send, I authorize an investigation of all statements contained herein and the references and employers listed above to provide St. John Missionary Baptist Church, Inc. any and all information concerning previous employment and any pertinent information they may have, personal or otherwise. I also understand and agree that no representative of the company has authority to enter into any agreement for employment for any specified period of time, or make any agreement contrary to the foregoing unless it is in writing and signed by an authorized company representative.
To submit completed application, please click the send button

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900 N Seacrest Blvd • Boynton Beach, FL
(561) 732-2377

Through the power of prayer, the gift of the Holy Spirit, the sharing and teaching of God’s word, we, the St. John Missionary Baptist Church are committed to building the Kingdom of God by empowering and equipping disciples who are reaching UP to God, reaching IN to the church and reaching OUT to the world.