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APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT HOLY CROSS LUTHERAN CHURCH AND SCHOOL

Thank you for your interest in employment with Holy Cross Lutheran Church and School. If you require any accommodations, due to a disability, during the application or interview process, please notify the Business Manager so appropriate arrangements can be made.We are an Equal Opportunity Employer and do not discriminate on the basis of race, color, national or ethnic origin, disability, gender, or age. As a church body, The Lutheran Church—Missouri Synod reserves the right to give hiring preference to individuals who are members in good standing of an LCMS congregation.

Personal Information

Name(Required)

Prefix First Middle Last

Email(Required)

Address(Required)

Street Address City State ZIP Code

Mobile Phone(Required)

Home Phone

Birthday(Required)

MM slash DD slash YYYY

Gender(Required)

Marital Status(Required)

Maiden Name (If Applicable)

Other Names Used

Married names, nicknames or other names used:

If you were employed under a different name, give that name in full:

Previous Address(Required)

Street Address, City, State, Zip Code

Current Work Phone(Required)

Are you 18 years old or older?(Required)

Yes

No

Drivers License Number(Required)

State of Issuance(Required)

Expiration Date(Required)

MM slash DD slash YYYY

Social Security Number(Required)

Optional Faith Based Question

Religious Affiliation

Congregation

Pastor's Name

Work Preference

Are you a citizen of the United States, or do you have a valid authorization to work in the United States?(Required)

Yes

No

Explanation(Required)

Best Time to Call You(Required)

When is the best time for use to reach you via telephone?

Position You're Applying For(Required)

Sales

Engineering

Clerical/Accounting

Marketing

IT/Technical

Facilities Maintenance

Teaching

Teaching Assistant

Cook

What type of employment or service commitment are you interested in?(Required)

Full-Time

Part-Time

Seasonal

Seasonal Explanation(Required)

What days are you available to work?(Required)

Please tell use what days and hours you are available for work each week

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Monday(Required)

Early Day (6am-10am)

Midday (10am-2pm)

Late Day (2pm-6pm)

Evening / After Hours (6pm-11pm)

Tuesday(Required)

Early Day (6am-10am)

Midday (10am-2pm)

Late Day (2pm-6pm)

Evening / After Hours (6pm-11pm)

Wednesday(Required)

Early Day (6am-10am)

Midday (10am-2pm)

Late Day (2pm-6pm)

Evening / After Hours (6pm-11pm)

Thursday(Required)

Early Day (6am-10am)

Midday (10am-2pm)

Late Day (2pm-6pm)

Evening / After Hours (6pm-11pm)

Friday(Required)

Early Day (6am-10am)

Midday (10am-2pm)

Late Day (2pm-6pm)

Evening / After Hours (6pm-11pm)

Saturday(Required)

Early Day (6am-10am)

Midday (10am-2pm)

Late Day (2pm-6pm)

Evening / After Hours (6pm-11pm)

Sunday(Required)

Early Day (6am-10am)

Midday (10am-2pm)

Late Day (2pm-6pm)

Evening / After Hours (6pm-11pm)

Are you willing to work after-hours or on-call shifts if needed?(Required)

Yes

No

I don't know

Referred by(Required)

Did someone refer you to apply?

Yes

No

The person's name who referred you(Required)

Salary required(Required)

Salary required to take this position

Please enter a number from 1 to 1000000.

Date available to begin(Required)

MM slash DD slash YYYY

Are you able to meet the attendance requirements of the position?(Required)

Yes

No

Will you work overtime, if required?(Required)

Yes

No

I don't know

Please explain why(Required)

Other Employment

Should you be employed by Holy Cross, would you engage in any other business?(Required)

Yes

No

I don't know

Where and in what capacity?(Required)

Have you ever been convicted, or plead guilty or "no contest" to any crime, other than traffic violations?(Required)

Answering “yes” to this question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Yes

No

Please explain(Required)

Have you ever been discharged or asked to resign by a previous employer?(Required)

Yes

No

Please explain(Required)

Employment History

Have you ever been employed?(Required)

Yes

No

First Employment

Most Recent Employer(Required)

Company name:

Company Phone Number(Required)

Company Address(Required)

Street Address, City, State, ZIP Code

Supervisor's Name(Required)

Job Title(Required)

Brief Job Description(Required)

Are you currently working for this employer?(Required)

Yes

No

May we contact this employer?(Required)

Yes

No

Employment / Service Commitment(Required)

Full-Time

Part-Time

Seasonal

Start Date(Required)

Date you started working

MM slash DD slash YYYY

End Date(Required)

Your last day working

MM slash DD slash YYYY

Starting Wage / Salary(Required)

Ending Wage / Salary(Required)

Reason for leaving this job(Required)

Explanation(Required)

Please explain the reason

Were you employed elsewhere before this employer?(Required)

Yes

No

Second Employment

Second Most Recent Employer(Required)

Company name:

Second Company Phone Number(Required)

Second Company Address(Required)

Street Address, City, State, ZIP Code

Second Supervisor's Name(Required)

Second Job Title(Required)

Second Brief Job Description(Required)

Second Are you currently working for this employer?(Required)

Yes

No

Second may we contact this employer?(Required)

Yes

No

Second Employment / Service Commitment(Required)

Full-Time

Part-Time

Seasonal

Second Start Date(Required)

Date you started working

MM slash DD slash YYYY

Second End Date(Required)

Your last day working

MM slash DD slash YYYY

Second Reason for Leaving Job(Required)

Please select the reason your job ended

Second Explanation(Required)

Please explain the reason

Unemployment History

Account for all periods of two weeks or more for which you have been without work in the last five years

Have you been unemployed in the past 5 years?(Required)

Yes

No

First Unemployment Period

From(Required)

MM slash DD slash YYYY

To(Required)

MM slash DD slash YYYY

Reason(Required)

Add in another period of unemployment?(Required)

Yes

No

Second Unemployment Period

From(Required)

MM slash DD slash YYYY

To(Required)

MM slash DD slash YYYY

Reason(Required)

Add a third unemployment?(Required)

Yes

No

Third Unemployment Period

From(Required)

MM slash DD slash YYYY

To(Required)

MM slash DD slash YYYY

Reason(Required)

Have you ever had over 3 periods of unemployment?(Required)

Yes

No

Explanation(Required)

Education

High School(Required)

School Name:

School Address(Required)

Street Address, City, State, ZIP Code

Started Attending(Required)

MM slash DD slash YYYY

Graduation Date(Required)

MM slash DD slash YYYY

Diploma/Degree(Required)

Major Subject(Required)

GPA(Required)

Example: 3.7

Secondary School

School Name(Required)

School Address(Required)

Street Address, City, State, ZIP Code

Started Attending(Required)

MM slash DD slash YYYY

Graduation Date(Required)

MM slash DD slash YYYY

Diploma/Degree(Required)

Major Subject(Required)

GPA(Required)

Example: 3.7

Tertiary School

School Name

School Address

Street Address, City, State, ZIP Code

Started Attending

MM slash DD slash YYYY

Graduation Date

MM slash DD slash YYYY

Diploma/Degree

Major Subject

GPA

Example: 3.7

Personal Reference 1

Name(Required)

Phone Number(Required)

Business/Profession(Required)

Length of Acquaintance(Required)

Years

Personal Reference 2

Name(Required)

Phone Number(Required)

Business/Profession(Required)

Length of Acquaintance(Required)

Years

Personal Reference 3

Name(Required)

Phone Number(Required)

Business/Profession(Required)

Length of Acquaintance(Required)

Years

Acknowledgment of Understanding and Consent

PLEASE READ BEFORE SIGNING:If you have any questions about the statement herein, please ask them of an employment interviewer before signing.Equal Employment Opportunity Statement This organization does not discriminate in hiring or employment on the basis of race, color, national origin, sex, age, or disability, except for positions that fall within the ministerial exception. As a church body, The Lutheran Church—Missouri Synod reserves the right to give hiring preference to individuals who are members in good standing of an LCMS congregation.Application Status Submission of this application does not obligate Holy Cross Lutheran Church and School to provide employment. Applications remain active for three months and must be renewed to remain active beyond that period.Applicant Certification I certify that the statements provided in this application are true and complete to the best of my knowledge. I authorize investigation of these statements and understand that falsification, misrepresentation, or omission of facts may result in disqualification from consideration or termination of employment if hired.Employment Relationship Holy Cross reserves the right, at any time and without notice, to modify wages, change or eliminate benefits and policies, and terminate employment with or without cause. I understand that no representative of Holy Cross, other than the Business Manager, is authorized to enter into any agreement for employment for a specified period or to make any agreement contrary to these terms.Doctrinal Expectations All employees of Holy Cross are expected to respect the official doctrines of the Synod and maintain lifestyles that are morally consistent with its teachings.Acknowledgment By signing below, I acknowledge that I have read, understand, and agree to the above statements and recognize them as conditions of employment.

First Name(Required)

Last Name(Required)

Signed Date(Required)

MM slash DD slash YYYY

Holy Cross Lutheran School
600 N Greenwich Rd
Wichita KS 67206

Call: (316) 684-4431 Fax: (316) 684-2847
Email: School@HCWichita.net

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