Job Application

River of Grass Employment Application

Welcome! We are happy you would like to apply for a position with River of Grass Unitarian Universalist Congregation, where our mission is one of inclusion, connection, hope, and service.

We invite you to learn more about us and Unitarian Universalism prior to your interview. Please review our website and get to know who we are.

Please complete the following application and someone will reach out to you if your application matches what we are looking for in our open positions.

Rev. Amy Carol Webb, Minister
minister@riverofgrassuu.org

Applicant Information

* Indicates required field

Name *

First

Last

Phone *

Date of Birth *

Email *

Driver's License *

Type of work desired: *

Full Time Part Time Temporary/Contract

Position applying for: *

When are you available to start working: *

If hired, can you provide evidence that you are authorized and of legal age to work in the United States? *

Yes No

Address *

Line 1

Line 2

City

State

Zip Code

Country

In case of Emergency Notify: *

First

Last

Emergency Phone Number: *

Name of Nearest Relative: *

First

Last

Phone Number of Nearest Relative: *

Education

High School: (Name, Location, Course of Study, # Years Attended, Degree/Diploma) *

College: (Name, Location, Course of Study, # Years Attended, Degree/Diploma) *

Business/Technical School: (Name, Location, Course of Study, # Years Attended, Degree/Diploma) *

Graduate School: (Name, Location, Course of Study, # Years Attended, Degree/Diploma) *

Professional Organizations: *

First-Aid Training? *

Yes No

First-Aid Date Completed: *

CPR Training? *

Yes No

CPR Date Completed: *

Employers

(List all jobs and contracts held by you during the past five continuous years)

Job 1 Company Name: *

Job 1 Phone Number: *

Job 1 Address: *

Line 1

Line 2

City

State

Zip Code

Country

Job 1 Position Held: *

Job 1 Dates Held Position (beginning - end): *

Job 1 Starting and Ending Salary: *

Job 1 Reason for Leaving: *

Job 1 Supervisor's Name: *

Job 1 Can we contact this person: *

Yes No

Job 2 Company Name: *

Job 2 Phone Number: *

Job 2 Address: *

Line 1

Line 2

City

State

Zip Code

Country

Job 2 Position Held: *

Job 2 Dates Held Position (beginning - end): *

Job 2 Starting and Ending Salary: *

Job 2 Reason for Leaving: *

Job 2 Supervisor's Name: *

Job 2 Can we contact this person: *

Yes No

Job 3 Company Name: *

Job 3 Address: *

Line 1

Line 2

City

State

Zip Code

Country

Job 3 Position Held: *

Job 3 Dates Held Position (beginning - end): *

Job 3 Starting and Ending Salary: *

Job 3 Reason for Leaving: *

Job 3 Supervisor's Name: *

Job 3 Can we contact this person: *

Yes No

Job 4 Company Name: *

Job 4 Address: *

Line 1

Line 2

City

State

Zip Code

Country

Job 4 Position Held: *

Job 4 Dates Held Position (beginning - end): *

Job 4 Starting and Ending Salary: *

Job 4 Reason for Leaving: *

Job 4 Supervisor's Name: *

Job 4 Can we contact this person: *

Yes No

Training and Experience

Please elaborate on how your training and experience relates to the position for which you are applying: *

Military Status

Have you served in the U.S. Armed Services? *

Yes No

Branch: *

Start Date: *

End Date: *

Rank/Rate at Discharge: *

Type of Service: *

Type of Discharge: *

Special Training/Experience Received in the U.S. Armed Services: *

Draft Status: *

Reserve Status: *

Criminal History

Have you ever been convicted of a criminal offense? *

Yes No

Do you currently have any criminal actions pending in which you are the Defendant? *

Yes No

Are you currently on probation or parole? *

Yes No

If you answered "Yes to any of the above questions, please explain the nature of the offense and provide the date of the offense and the county and state in which it occurred: *

Personal References

Name (1): *

First

Last

Phone Number (1): *

Occupation (1): *

Relationship (1): *

Address (1): *

Line 1

Line 2

City

State

Zip Code

Country

Name (2): *

First

Last

Phone Number (2): *

Occupation (2): *

Relationship (2): *

Address (2): *

Line 1

Line 2

City

State

Zip Code

Country

Name (3): *

First

Last

Phone Number (3): *

Occupation (3): *

Relationship (3): *

Address (3): *

Line 1

Line 2

City

State

Zip Code

Country

Applicant Statement

I certify that this employment application was completed by me and that all of the information on this application is true and correct to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts called for herein will result in my disqualification from further consideration or dismissal from employment if I am hired. I have reviewed the Authorization for Criminal Records Verification and acknowledge that I understand the terms set forth therein. I understand that this employment application is not valid without my full name and date.

Type Name *

First

Last

Today's Date: *

Submit