Indiana Conference Seventh-day Adventist Church

             Indiana Conference │ Seventh-day Adventist Church

 

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  Personal Information    
First Name  Last Name 
Address / Street  City 
State  Zip 
Home Phone  Cell Phone 
Email 
 
       
Are you seeking Full Time   Part-time    Temporary Date available
Are you 18 years of age or older?        
Have you previously been employed by the Indiana Conference?       
Have you previously been denominationally employed?          
If yes, where?
Do you have any relatives employed by the denomination?          
If yes, where?
   
  The Indiana Conference requires its employees to be baptized, tithe-paying members in good standing of the SDA Church. Please list below.
Church Membership Church Address
Pastor's Name Phone Number

   
  Education  
High School Location
Graduated        Degree or Major
 
       
College Location
Graduated        Degree or Major
 
       
Graduate Work Location
Graduated        Degree or Major
 
     
  Employment Record #1 List your last three employment positions
Employer Job Title
Address Status Full Time   Part Time
Phone Number Supervisor's name
Start Date Ending Date
Start Salary Ending Salary
Duties
Skills/Licenses
Reason(s) for leaving
   

  Employment Record #2  
Employer Job Title
Address Status Full Time   Part Time
Phone Number Supervisor's name
Start Date Ending Date
Start Salary Ending Salary
Duties
Skills/Licenses
Reason(s) for leaving
   

  Employment Record #3  
Employer Job Title
Address Status Full Time   Part Time
Phone Number Supervisor's name
Start Date Ending Date
Start Salary Ending Salary
Duties
Skills/Licenses
Reason(s) for leaving
   

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*By clicking the submit button I hereby Certify that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge, and that any information I have provided is subject to verification. I understand that incomplete, false or misleading information given in this application, in my interview(s) or otherwise in the application process will void this application or will subject me to discharge at any time if I am employed.

I expressly acknowledge and understand that in the absence of a written contract signed by human Resources to the contrary, my status, if I am hired, will be that of an employee at will having no contractual right, express or implied, to remain in the Indiana Conference's employment. I expressly acknowledge further that neither any verbal communication nor any written communication made to me during the application and/or interview process or during my employment with the Indiana Conference, nor any provision in the policy book constitutes the term of an implied employment agreement. In Consideration of any employment offered, I specifically agree that my employment may be terminated, with or without cause or notice, at any time, at the option of either the Indiana Conference or myself. I understand that only Human Resources or Conference Administration may enter into any other agreement for my employment with the Indiana Conference or make any agreement with me contrary to the foregoing.

Accept
   
  *I expressly agree that my prior employer(s) and current employer may be contacted for the purpose of investigating my background, and I understand that information regarding my prior and current employment(s) may be used by the Indiana Conference in considering this application. I further agree to cooperate fully in acquiring any requested information. I hereby permit my present and prior employer(s) to disclose to the Indiana Conference information in their possession or subject to their control including information contained in my personnel file(s). In this regard, I expressly release the Indiana Conference from any and all liability of whatever kind and nature which, at any time, may result from obtaining and making an employment decision based upon the requested information. Additionally, I understand that the Indiana Conference may request, and I hereby expressly give my permission for the Indiana Conference to obtain a criminal history background check on me as part of the application process.

Accept