Employment Application

GENERAL INFORMATION

First Name (Required)

Middle Initial (Required)

Last Name (Required)

Present Address (Line 1) (Required)

Present Address (Line 2)

City (Required)

State (Required)

Zip (Required)

Permanent Address (Line 1)

Permanent Address (Line 2)

City

State

Zip

Best Phone Number to Reach You (Required)

E-mail Address (Required)

Are you over the age of 21? (Required)

Do you have a valid Driver's License? (Required)

Do you have 2 points or less on your driving record? (Required)

Ever been involved with illegal drugs or narcotics? (Required)

If yes, please explain

Ever been convicted of or pled to a felony charge? (Required)

If yes, please explain

Explain how you became acquainted with our organization (Required)

If needed, please specify:

Are you related to anyone in our employment? If so, please state their name and position:

NOTE: In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.

ADDITIONAL DETAILS

Position Desired (Required)

Department Applying For

Date you can start

Month

Day

Year

Salary Desired

Are you currently employed? (Required)

If so, may we contact your present employer?

Have you applied for a position at Advent in the past?

If so, when?

EDUCATION

Name of High School (Required)

City

Zip

Degree (please select one)

Diploma
GED

Name of College

City

Years Completed

Degree Received

Course of Study

Is College Accredited?

Name of Graduate School

City

Years Completed

Degree Received

Course of Study

Is College Accredited?

Name of Trade/Business or Correspondence School

City

Years Completed

Degree

Course of Study

Subjects of Special Study or Research Work

Foreign Languages Spoken

Professional Affiliations

EMPLOYMENT HISTORY

Please list your last three employers, starting with your current one first. Volunteer positions may be included.

Employer #1

Job Title

Address (Line 1)

Address (Line 2)

City

Zip

Phone

Start Date

Month

Day

Year

End Date

Month

Day

Year

Supervisor's Name

Reasons for Leaving

Employer #2

Job Title

Address (Line 1)

Address (Line 2)

City

Zip

Phone

Start Date

Month

Day

Year

End Date

Month

Day

Year

Supervisor's Name

Reasons for Leaving

Employer #3

Job Title

Address (Line 1)

Address (Line 2)

City

Zip

Phone

Start Date

Month

Day

Year

End Date

Month

Day

Year

Supervisor's Name

Reasons for Leaving

SKILLS AND INTERESTS

What appeals to you about working at Advent? (Required)

List special skills or abilities that you feel will help you work with disturbed youth (Required)

Explain your philosophical basis for helping people (Required)

List your interests, activities, hobbies, favorite books, music, etc. (Required)

REFERENCES

Please list three people not related to you whom you have known for at least one year and can give information about your background, character, abilities, etc.

Name of Reference #1 (Required)

Relationship to Applicant (Required)

Profession

Years Acquainted (Required)

City (Required)

Daytime Phone (Required)

Email or Fax

Name of Reference #2 (Required)

Relationship to Applicant (Required)

Profession

Years Acquainted (Required)

City (Required)

Daytime Phone (Required)

Email or Fax

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Name of Reference #3 (Required)

Relationship to Applicant (Required)

Profession

Years Acquainted (Required)

City (Required)

Daytime Phone (Required)

Email or Fax

NOTE: We comply with the ADA and will consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential duties.

Are you able to perform the essential duties of the job you are applying for, either with or without reasonable accommodations? (Required)

If no, please explain

Please choose one of the following

I will come to San Jose, CA, at my own expense, for an in-person interview
I am out of the area and prefer a telephone interview

It is important that full-time staff at Advent be able to commit themselves to working at least one year. If hired, would you be able to make this commitment? (Required)

On the final step you will be required to enter a digital signature which will be binding as your actual signature. Your electronic signature below indicates your agreement with the following statements:

By typing my name in the following box I certify the information contained in this application to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application. I authorize investigation of all statements contained in this application and I understand that misrepresentation or omission of facts called for is cause for dismissal. I understand that Advent Group Ministries is committed to remaining a drug free workplace and will require a pre-employment drug screening. Further, I understand and agree that my employment is at will and for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time with or without cause and without any previous notice.

Applicant's Signature (Required)

Date (Required)

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