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Home
About
Programs
Our Events

Get Involved
Resources
Contact Us
Donate

Employment Application

Contact Us

Name

Date

Address

City

State

Zip Code

Phone

Email

What position are you applying for?

How did you hear about this position?

What days are you available to work?

What hours/shifts are you available for work?

If needed, are you available to work overtime?

On what date can you start working if hired?

What salary or per hour rate is preferred?

Have you ever applied to or worked for Haven of Rest Ministries before?

Yes

No

If yes, when?

Do you have any friends, relatives, or acquaintances working for Haven of Rest Ministries?

Yes

No

If yes, state the name and relationship?

Are you an active member of your church?

Yes

No

Name and address of your church

Are you 18 years or older?

Yes

No

Are you a U.S. Citizen or approved to work in the United States?

Yes

No

Can you provide proof of citizenship or legal status?

Yes

No

Will you consent to a mandatory controlled substance test?

Yes

No

Will you consent to a mandatory background test?

Yes

No

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes

No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case

Do you have any condition which would require job accommodations?

If yes, please describe accommodations required below.

Please list below the skills and qualifications you possess for the position for which you are applying

High School Name

Location (City, State)

Year Graduated

Degree Earned

College/University Name

Location (City, State)

Year Graduated

Degree Earned

Specialized Training

Location (City, State)

Year Graduated

Degree Earned

Are you a member of the Armed Services?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employer Name

Job Title

Supervisor Name

Previous Employer's Phone

Previous Employer's Address

City

State

Zip Code

Dates Employed

Pay Rate

Reason for leaving

Reference (Please no Relatives)

Contact Info

Relationship

Years Known

Reference (Please no Relatives)

Contact Info

Relationship

Years Known

Reference (Please no Relatives)

Contact Info

Relationship

Years Known

Thank you for applying for the Haven of Rest's Men's Program.

We will get back to you as soon as possible.

Oops, there was an error sending your application.

Please try again later.

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