Grace Lutheran Church Employment Application

Grace Lutheran Church
1140 East High St
Davenport, IA 52803
563-322-0769
personnel@gracewelcomesyou.org
office@gracewelcomesyou.org

Grace Lutheran Church, ELCA is an equal opportunity employer. Grace Lutheran Church does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, gender, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service, or any other characteristic protected by law.

Today's Date

Would you rather upload your resume?

*Yes - I will upload my resume No - I will complete the application

*Even if you upload your resume, there are still a few required questions (these are *starred) at the beginning of the form along with a signature and date at the end of the application.

Resume upload

Upload (8MB)

Personal Information

Name

Address

Phone

This address will receive a confirmation email

Desired Position

If "other", please note

Can you perform the essential functions of the position for which you are applying? (If you have questions as to what functions are applicable to the position for which you are applying, please contact our hiring team at personnel@gracewelcomesyou.org.)

Yes No Not Sure

If no or not sure, please explain.

When are you available to begin work?

Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment.)

Yes No

Are you over the age of 18 years?

Yes No

Have you previously worked for Grace Lutheran Church, Davenport, IA, ELCA?

Yes No

If yes, please list dates and job title.

Do you have any relatives or friends who work for Grace Lutheran Church?

Yes No

If yes, please list their names.

Are you available to work weekends and holidays?

Yes No

If no, please explain.

Education

For each level of education, please list the following (as applicable):
• Name/Location of School
• Course of Study
• Number of Years Completed
• Diploma/Degree

High School

College

Vocational or Trade School

Graduate Work

Have you completed any special courses, seminars and/or training directly related to the position for which you are applying? Yes No

If yes, please describe.

Please share any additional experiences that may inform and be relevant to the position you are applying for.

Employment History

Please list your record of employment starting with your current or most recent employer.

Are you currently employed? Yes No

If yes, may we contact your current employer? Yes No

Briefly explain why you are considering leaving your current employment.

Current or Most Recent Employer

Name of Employer

Dates employed (from/to)

Employer's Full Address

Employer Phone

Supervisor's Name and Title

Employer or Supervisor Email

Describe the work performed.

Previous Employer

Name of Employer

Dates employed (from/to)

Employer's Full Address

Employer Phone

Supervisor's Name and Title

Employer or Supervisor Email

Describe the work performed.

Previous Employer

Name of Employer

Dates employed (from/to)

Employer's Full Address

Employer Phone

Supervisor's Name and Title

Employer or Supervisor Email

Describe the work performed.

Personal References

Please list three references (not relatives).

Reference #1

Reference Name

Reference Occupation

Reference's Full Address

Reference Phone

Reference Email

Reference #2

Reference Name

Reference Occupation

Reference's Full Address

Reference Phone

Reference Email

Reference #3

Reference Name

Reference Occupation

Reference's Full Address

Reference Phone

Reference Email

Important - Please Read and Sign

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, citizenship status, ancestry, age, gender, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service, or any other characteristic protected by law

I understand that failure to reveal any prior employer, or giving false or misleading information by me on any part of this Application for Employment can result in disqualification for employment consideration or, if hired, may be grounds for termination from the company or its' subsidiaries. I understand that if I am hired, my employment is for no definite time and may be terminated at any time without prior notice.

Signature (Please type your full name).

Date Completed

Grace Lutheran Church Employment Application

Description

Please Fix the Following