St. Mark's United Methodist Church

JOB APPLICATION

PERSONAL INFORMATION

POSITION INFORMATION

FAITH INFORMATION

EDUCATION AND TRAINING

Street Address

City State Zip

Are you eligible to work in the United States? qYes qNo

Phone

First DateLast Name

qMobile qHome

Position for which you're applying:

Email address DOB

Apartment/Unit #

Have you ever applied at St. Mark's before? qNo qYes ___________(year)

Date Available: Desired Salary:

Please write a short paragraph about your relationship with Christ:

Are you actively involved in a church? qYes qNo

Other: Address

Years Completed:

Did you graduate? qYes qNo Degree

Degree

Graduate School: Address

Years Completed:

Did you graduate? qYes qNo Degree

High School: Address

Did you graduate? qYes qNo

College: Address

Years Completed:

Did you graduate? qYes qNo

Are you a member? qYes qNoDo you attend St. Mark's? qYes qNo

St. Mark's United Methodist Church

Start Date

End Date

Start Date

End Date

Start Date

End Date

EMPLOYMENT HISTORY

May we contact this employer for a reference? qYes qNo

(We may still contact employer for work history timeline.)

Reason for leaving:

Please list any other relevant training, certifications or coursework (including missions):

Company Name:

Duties:

Reason for leaving:

May we contact this employer for a reference? qYes qNo

(We may still contact employer for work history timeline.)

Street Address:

Job Title: Supervisor:

Duties:

Reason for leaving:

Duties:

Is this your current employer? qYes qNo

May we contact this employer for a reference? qYes qNo

(We may still contact employer for work history timeline unless this is your current employer.)

Supervisor:

Street Address:

Job Title:

Street Address:

Job Title: Supervisor:

Company Name:

EDUCATION AND TRAINING…continued

Phone:City, ST Zip:

Company Name:

City, ST Zip: Phone:

City, ST Zip: Phone:

Pg. 2 Job Application

St. Mark's United Methodist Church

Please read carefully and initial each section, and sign your application below.

Initials

Initials

Initials

REFERENCES

Please list three personal/professional references

Name Relationship

Company Phone

Address

The answers on this application are true and correct to the best of my knowledge. I understand

that omission or misstatement of material fact on this application or on any document used to

secure employment will be grounds for rejection or immediate discharge if I am hired, regardless

of the time elapsed before discovery.

I herby authorize St. Mark's United Methodist Church to thoroughly investigate any references,

work record, education and other matters related to my suitability for employment based on

information I have provided. I release St. Mark's and all other persons from any and all claims,

demands or liabilities related to such investigation or disclosure.

Should a search of public records (including records documenting an arrest, indictment, conviction,

civil judicial action, tax lien, or outstanding judgment) be conducted by St. Mark's United Methodist

Church, I understand I am entitled to copies of any such public records obtained by the Church

upon request.

Printed Name Date

Name Relationship

PhoneCompany

Address

Name Relationship

Company Phone

Address

AUTHORIZATION

St. Mark's United Methodist Church • 546 W US Highway 224 • Decatur, IN 46733-7547jobs@stmarksumchurch.org

Please mail or email completed applications to:

Signature

Pg. 3 Job Application