Application For Employment
Pine Tree
PERSONAL INFORMATION
Last Name_________________________ First___________________Middle_______________
Address ______________________________________________________________________
City___________________________________________State____________Zip____________
Home Phone________________________Cell or other contact number____________________
Email________________________________Social Security Number______________________
Do you have a current driver’s license? ______Yes _____No
Driver’s License Number________________________________________State_____________
Do you have access to a car or other motorized vehicle? _____________
During the last 7 years, have you ever been convicted of, or pled guilty to, or pled no contest to a crime, excluding misdemeanors and traffic violations? Yes________ No__________
Describe______________________________________________________________________
*A conviction will not necessarily bar you from employment.
EMPLOYMENT DESIRED
Position for which you are applying________________________________________________________
If hired, when could you start work? __________________Are you presently employed? ____________
If so, may we inquire of your present employer? _____________________________________________
EMPLOYMENT HISTORY (start with your present or last position)
(1) Company_________________________________________Job Title__________________________
Address_________________________________City___________________State______Zip__________
Telephone_________________________Dates worked: From_______________To_________________
Reason for leaving_____________________________________________________________________
(2) Company_________________________________________Job Title__________________________
Address_______________________________City_____________________State______Zip__________
Telephone_________________________Dates worked: From_______________To_________________
Reason for leaving_____________________________________________________________________
EDUCATION
High School_______________________________Address_____________________________________
City___________________________________________State____________Zip___________________
Did you graduate? ___________________
College/Trade/Vocational______________________________Address___________________________
City___________________________________________State______________Zip_________________
Course/Major_____________________________Degree(s) or Certification(s) _____________________
SKILLS (Please check the applications with which you are familiar. State if you are a beginner (B), Intermediate (I), or Expert (E).
Typing – WPM__________
Microsoft Word_________Microsoft Excel__________ PowerPoint________QuickBooks__________
Internet________Email_______________
ADDITIONAL INFORMATION
List additional education, training, experience, or skills (Use back of page if needed) ________________
____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
REFERENCES
List two people whom you have known for at least four years. Do not include relatives or former employers.
(1) Name ____________________________________________Phone Number ____________________
How do you know them and for how long? __________________________________________________
(2) Name ____________________________________________Phone Number ____________________
How do you know them and for how long? __________________________________________________
I certify the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief and are made in good faith. I understand that any false statements made herein will void this application and any actions based on it.
Signature of Applicant_______________________________________Date________________________
This church is an equal opportunity employer.

