Trinity Employment Application "*" indicates required fields Step 1 of 6 16% 3355 Dunckel Road Lansing, MI 48911 Phone: (517) 272.3820Today's Date MM slash DD slash YYYY Personal InformationName* First Middle Last Email* Enter Email Confirm Email Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone*Can you receive text messages at this number?* Yes No Are you 18 years or older?* Yes No Can you verify you are a U.S. citizen or authorized to work in the U.S.?* Yes No Have you ever applied to / worked for Trinity Church?* Yes No When?* MM slash DD slash YYYY Have you ever been charged, convicted of, or plead guilty to any crime (misdemeanor or felony)? (Having a criminal record does not necessarily mean you will be denied employment.)* Yes No Please explain* Additional InformationWhat position are you applying for?*How did you hear about this position?*Applying for:* Full Time Part Time Seasonal/Temporary Any Please specify days and hours available for work: (Inability to work certain days/hours will not necessarily disqualify you from employment.)*SunMonTuesWedThursFriSat Add RemoveAvailable Start Date* MM slash DD slash YYYY Salary Expected Prior Work ExperienceDo you have prior work experience?* Yes No Employer 1 (most recent)*Employer 1: Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer 1: Primary Phone*Employer 1: Name of Supervisor* First Last Employer 1: Start Date MM slash DD slash YYYY Employer 1: End Date MM slash DD slash YYYY Still working here? (Employer 1) Yes No Add more work history? (recommended) Yes No Employer 2*Employer 2: Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer 2: Primary Phone*Employer 2: Name of Supervisor* First Last Employer 2: Start Date MM slash DD slash YYYY Employer 2: End Date MM slash DD slash YYYY Still working here? (Employer 2) Yes No Add more work history? (recommended) Yes No Employer 3*Employer 3: Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer 3: Primary Phone*Employer 3: Name of Supervisor* First Last Employer 3: Start Date MM slash DD slash YYYY Employer 3: End Date MM slash DD slash YYYY Still working here? (Employer 3) Yes No EducationHigh School/Location*Major or Emphasis*Graduate?* Yes No DegreeCollege/University*Major or Emphasis*Graduate?* Yes No DegreeCollege/University*Major or Emphasis*Graduate?* Yes No DegreeTrade School*Major or Emphasis*Graduate?* Yes No DegreeOther*Major or Emphasis*Graduate?* Yes No DegreeList any applicable special skills, training, or proficiencies* ReferencesRef 1: Name* First Last Ref 1: Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Ref 1: Primary Phone*Ref 1: Email Ref 1: Relationship?Ref 2: Name* First Last Ref 2: Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Ref 2: Primary Phone*Ref 2: Email Ref 2: Relationship?Ref 3: Name* First Last Ref 3: Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Ref 3: Primary Phone*Ref 3: Email Ref 3: Relationship?Would you like to attach a job resume?* Yes No Upload your resume here*Max. file size: 2 GB. Applicant's CommentsPlease comment on how your prior education and experiences qualify you for the position you are seeking. Detail any past responsibilities and achievements. Note any special course work, honors, activities, special projects, or anything else you feel will assist us in considering your job application.Job Application Verification & ReleaseDigital Signature* By checking this box you are declaring that the information you've submitted on this application is accurate to the best of your understanding, and to the release outlined below. Trinity Church operates in compliance with the provisions of all applicable federal and state non-discrimination regulations including, Titles VI and VII of the Civil Rights Act of 1964, the Age Discrimination in Employment Act of 1967, the Equal Pay Act, the Americans with Disabilities Act of 1990, and any applicable sections of the state labor code. These prohibit discrimination on the basis of the applicant’s age, race, color, sex, religion, national or ethnic origin, and physical or mental disability. • I understand that Trinity Church does not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting an applicant as prohibited by applicable law. • To the best of my knowledge, the facts in this application are true and complete. If hired, untrue statements in this application may be grounds for dismissal. • I authorize the investigation of all statements in this application. Trinity Church may contact all references, employers (if approved above), public agencies, and educational institutions to verify the accuracy of all information provided by me in this application or job interview. As allowed by law, references may give information concerning my previous employment and any other pertinent information. I release all parties from all liability for any damage that may result from furnishing this information to Trinity Church. • I understand that any job offers are conditional and I will be required to complete Trinity Church's Volunteer Application process which will include a background check. • I agree that, if hired, there will be no contract between me and Trinity Church. I will be an at-will employee as allowed by the State of Michigan. My employment may be terminated at any time with or without cause. • I certify that I understand and accept the terms in this application.Enter Today's Date* Month Day Year Please attach a copy of your drivers license (required for background check).Max. file size: 2 GB.Note: You may also bring a copy of your drivers license to Trinity Church's front office if you'd prefer.
