Beacuse we are a church body St. James retains the right to give preference in hiring to persons who are member in good standing of a Lutheran Church -- Missouri Synod congregation.
You must complete all fields marked with a red astericks.
You may save this application and return to it later by scrolling to the bottom and providing your email and clicking "save and return later".
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Personal Data:
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Name
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Phone Number
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Present Address
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Previous Address
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Work Preference:
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St. James Lutheran Church Information:
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Other:
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Personal References:
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Reference 1:
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Reference 2:
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Reference 3:
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Reference 4:
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Employment History:
List your complete employment record including temporary, regular and part-time in date order with most recent first. List military service, if applicable, as part of employment record. Please answer "NA" to any not applicable fields.
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Most Recent Employer:
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Company Address:
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Dates of Employment:
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Next Most Recent Employer:
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Company Address:
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Dates of Employment:
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Next Most Recent Employer:
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Company Address:
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Dates of Employment:
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Unemployment:
Account for all periods of two weeks or more for which you have been without work in the last five years. If not applicable please enter "NA" to the following questions:
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Please enter from and to unemployed:
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Education:
Please fill out education information completly. If not appicable please enter "NA":
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Authorization and Release:
In connection with my application for employment, I understand that an investigative consumer report may be re-quested that will include information as to my character, work habits, performance and experience, along with reasons for termination of past employment. I understand that, as directed by company policy and consistent with the job described, you may be requesting information from public and private sources about my: workers’ compensation injuries, driving record, criminal record, education, credentials, credit and references. I voluntarily and knowingly authorize the company, and/or its agents, to verify any aspect of the information contained in my employment application or through public or private sources. I further understand that misrepresentations or omissions in my employment application may be cause for rejection or subsequent dismissal if I am hired.
Medical and workers’ compensation will only be requested in compliance with the Federal Americans with Disabilities Act (ADA). According to the Fair Credit Reporting Act (FCRA), I am entitled to know if employment is denied because of information obtained by my prospective employer by a consumer reporting agency. If so, I will be notified and given the name and address of the agency or the source which provided the information.
I voluntarily and knowingly authorize any former employer, person, firm, corporation, school or government agency, its officers, employees and agents to release to you or your agents any and all information concerning my former employment. I understand that the employment information may include, but is not necessarily limited to, performance evaluation and reports, job descriptions, disciplinary reports, letters of reprimand and opinions regarding my suitability for employment possessed by it.
I voluntarily and knowingly fully release and discharge, absolve, indemnify and hold harmless you, your agents and any former employer, person, firm, corporation, school or government agency, its officers, employees and agents from any and all claims, liability, demands, causes of action, damages, or costs, including attorney’s fees, present or future, whether known or unknown, anticipated or unanticipated, arising from or incident to the disclosure or release of any such information to you, your agents, or consumer reporting agency.
I hereby authorize you to procure a consumer report as part of the pre-employment background investigation. If hired, this authorization shall remain on file and shall serve as an ongoing authorization for you to procure consumer reports at any time during my employment period.
Signature Date
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The following information is required by law-enforcement agencies and other entities for positive identification process when checking public records. It is confidential and will not be used by any other purposes.
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Full Legal Name:
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Current Address:
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Acknowledgement of Understanding Consent:
This organization does not discriminate in hiring or employment on the basis of race, color, national origin, sex, age or disability. Because we are a church body, St. James Lutheran Church retains the right to give preference in hiring to persons who are members in good standing of an LCMS congregation.
It is understood that this application is not an obligation to provide employment. The application will be kept active for three months and it must be renewed to be active for a longer period.
I hereby certify that the statements made in this employment application are true and complete, to the best of my knowledge, and I authorize investigation of those statements. I understand that falsification, misrepresentation or omission of facts will be sufficient cause for elimination of any consideration for employment or cause for dismissal from St. James, if I have been employed.
St. James has the right, exercisable at any time, and without notice, to change wages, to change or eliminate benefits and policies, as well as to terminate, with or without cause, the employment relationship. I understand that no manager or representative of St. James Lutheran Church, other than the Human Resources Committee has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing.
I understand that all employees of St. James Lutheran Church are expected to respect the official doctrines of the Lutheran Church--Missouri Synod and to pursue lifestyles that are morally in harmony with its teachings.
I agree that I have read and understand the above acknowledgments and agreements and recognize all of the above as conditions of employment.
Signature Date
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