Application for Employment

Date:

Name:

(First)

(Middle)

(Last)

Address:

City:

State:

Zip:

Home Phone:

Business Phone:

Cell Phone:

Email Address:

Are you 18 years of age or older?

Yes

□

No

□

Type of Work Desired:

Full-Time

□

Part-Time

□

Temporary

□

Are you willing to work other than 8:15-4:45 Monday through Friday if the position

requires it?

Yes

□

No

□

Will you work overtime/weekends if the position requires it?

Yes

□

No

□

Can you travel if the position requires it? Yes

□

No

□

Have you previously worked for the Baptist General Convention of Oklahoma? Yes

□

No

□

If yes, provide: From:

To:

Location:

Do you have any relatives currently working for the Convention? Yes

□

No

□

If yes, give Name(s):

Relationship:

Position:

Are you legally eligible for employment in the United States? Yes

□

No

□

Have you ever been convicted of a crime? (Do not answer yes if: 1. you were a

juvenile at the time and the matter was completely handled in juvenile court or 2. your

record has been expunged.)

Yes

□

No

□

If you answered yes, was it for a felony conviction? Yes

□

No

□

Education:

High School:

Graduate: Yes

□

No

□

Trade or Business School:

Graduate: Yes

□

No

□

College:

Major:

Graduate: Yes

□

No

□

College:

Major:

Graduate: Yes

□

No

□

Seminary:

Graduate: Yes

□

No

□

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(Please give accurate, complete full-time and part-

Employment:

time employment record. Start with present or most recent employer.)

(Other than

References:

family or former employers)

Present (or Last) Employer:

Phone:

Address:

City:

State:

Zip:

Employment Date:

to

Starting Pay:

Ending Pay:

Supervisor’s Name:

Position & Job Description:

Reason for Leaving:

Employer:

Phone:

Address:

City:

State:

Zip:

Employment Date:

to

Starting Pay:

Ending Pay:

Supervisor’s Name:

Position & Job Description:

Reason for Leaving:

Employer:

Phone:

Address:

City:

State:

Zip:

Employment Date:

to

Starting Pay:

Ending Pay:

Supervisor’s Name:

Position & Job Description:

Reason for Leaving:

Employer:

Phone:

Address:

City:

State:

Zip:

Employment Date:

to

Starting Pay:

Ending Pay:

Supervisor’s Name:

Position & Job Description:

Reason for Leaving:

Name:

Address:

Telephone:

Occupation:

Years Known:

Name:

Address:

Telephone:

Occupation:

Years Known:

Name:

Address:

Telephone:

Occupation:

Years Known:

---

Additional

(Please complete

Experience:

all that apply.)

Computer Software Experience:

MS Office

□

MS Word

□

MS Excel

□

MS Publisher

□

PowerPoint

□

MS Windows

□

MS Outlook

□

(including email, calendar, contacts, etc.)

MS Access

□

Other:

Clerical Skills:

Keyboarding speed

wpm

Dictation: Yes

□

No

□

wpm

Ten Key: by touch

□

by sight

□

US Military Service:

Branch:

Specialty:

Voluntary Personal Information:

(This next section is general information for the Baptist General Convention of Oklahoma. Your responses to these questions are

voluntary and the information contained herein will remain confidential.)

Marital Status:

Single

Engaged

Married

Separated

Divorced

Widowed

Are you a born-again Christian? Yes

□

No

□

Are you a member of a Southern Baptist Church? If yes, name of church:

If no, what church do you attend?

Are you currently having a consistent quiet time and devotional life? Yes

□

No

□

Do you regularly attend your church services? Yes

□

No

□

Do you believe that the Bible is inerrant and authoritative in all matters? Yes

□

No

□

Do you share the Gospel with others and ask them to receive Christ? Yes

□

No

□

Do you have any trouble working under authority, assuming that authority does not violate

scripture? Yes

□

No

□

(Please explain)

Do you use tobacco products? Yes

□

No

□

Do you drink alcoholic beverages? Yes

□

No

□

Do you currently, or have you in the past, used any illegal drug? Yes

□

No

□

If yes to any of the last three questions, please explain:

Hobbies:

Please share briefly how you came to know Christ as your personal Savior.

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Conditions of Employment

Please read the following carefully as it constitutes conditions for employment with the

Baptist General Convention of Oklahoma.

I certify that the information given by me to the Baptist General Convention of Oklahoma

is true, accurate and complete to the best of my knowledge. I understand that any false

statement on the application, résumé, or during the interview or hiring process may result

in refusal of employment, or if employed, immediate termination from the Baptist General

Convention of Oklahoma.

I further certify that I am not engaged in any outside activity or business that could be

considered in conflict with the interests of the Baptist General Convention of Oklahoma,

nor will I become engaged in any such activity or business if employed.

I authorize the Baptist General Convention of Oklahoma to solicit information regarding

my character, general reputation, credit, previous employment and similar background

information, and to contact any and all references I have given on my application. I

hereby release all parties and persons connected with any such information from all

claims, liabilities and damages for any reason arising from the furnishing of such

information. If employed, I release the Baptist General Convention of Oklahoma from any

liability for future references it may provide regarding my work history at the Convention.

I agree that my employment can be terminated with or without cause, and with or without

notice at anytime, at the option of the Baptist General Convention of Oklahoma or myself.

I agree to take any and all tests required that are applicable to the position I am applying

for. I further agree to observe all policies and regulations of the Baptist General

Convention of Oklahoma.

I agree to protect any and all confidential information I may receive.

I understand that if employed, I will provide timely documentation of identity and

employment eligibility in accordance with the Immigration Reform and Control Act.

(I-9 Form will be provided.)

Signature of Applicant:

Date:

Please provide the following for background check and employment verification purposes

only:

Social Security Number:

Date of Birth:

Driver’s License Number: