EmailMe Form - Employment Application

Name *

First Last

Submitted by (enter your email) *

Email required for submission

Phone *

### - ### - ####

Position title *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

References

List below persons above age 18, not related to you, who have knowledge of your work performance within the last three years

Reference 1 *

Name
Relationship
# Years Acquainted
Phone number

Reference 2 *

Name
Relationship
# Years Acquainted
Phone number

Reference 3 *

Name
Relationship
# Years Acquainted
Phone number

Pre-hire Questions

These will assist our hiring manager during the interview process. If you need to, please use the lines below to further explain your answer.

Do you have any leadership/volunteer experience in church ministry? *

Yes

No

Do you attend ENCOUNTER? *

Yes

No

We conduct a police background check on all applicants, following CA law. Do you have any objections? *

Yes

No

Have you ever had any experiences that might make it difficult for you to serve in this position at ENCOUNTER? *

Yes

No

Are you able to perform the essential functions of this position? If no, describe the functions that cannot be performed in the comment section below, and how we can accommodate you. *

Yes

No

Other than time off for reasons related to a disability or a medical condition, are there any days or times when you are unavailable to work? Explain in the comment section below. *

Yes

No

I hereby authorize ENCOUNTER to verify all information contained in this application with any references, my past or present employers, or any other appropriate personnel at my present or past employers, churches, or other organizations. I also hereby authorize any individuals to disclose any and all information to ENCOUNTER. I release all such persons or entities from liability that may results or arise from ENCOUNTER collections of all such evaluations or information or its consideration of my application. *

Yes

No

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