How do you believe your journey with Christ has prepared you to work at BCM?

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1 Name: Date: Dear applicant: Briefly write your personal Christian testimony. How do you believe your journey with Christ has prepared you to work at BCM? What unique talents and traits do you bring to this position? What days/hours are you able to work? Signature:

2 Qualifications for Employment Every position within the Buffalo City Mission (BCM) organization requires specific qualifications particular to that area of service. Qualifications, duties and responsibilities are listed in the job description for each position. However, the following personal requirements for staff members of BCM are common to all. Employees of BCM should: 1. Be a born-again believer in the Lord Jesus Christ expressed by a personal testimony and evidenced in daily life. 2. Maintain a lifestyle consistent with Biblical standards as reflected in Christ- like character and conduct. 3. Be an active member who participates in the ministry of a local recognized Christian, evangelical, Bible-believing church. 4. Have a genuine concern for the salvation of souls and the spiritual welfare of BCM guests and clients. 5. Agree with the BCM Statement of Faith. 6. Abstain from involvement with and/or the use of illegal substances and alcohol. 7. Maintain a lifestyle that is free from gambling and sexual sin. 8. Have a high standard of personal hygiene and housekeeping relative to appearance, clothing, and office area. 9. Have a teachable spirit and be committed to unity, teamwork, and respect for BCM staff and leadership. Philippians 2:1-4; Hebrews 13:7, Pursue and hold in highest regard the Biblical instruction concerning family and marriage responsibility. Ephesians 5:22-6:4; Colossians 3:18-24; I Peter 3: A minimum of a High School diploma or General Education Equivalent (GED) will be required for a full or part-time position at the Buffalo City Mission.

3 Last Name First Name Middle Initial Application Date Current Address (#. Street, P.O. Box) Apt# City, State & Zip Code Home Phone ( ) Position Desired Message Phone ( ) Referred By I am applying for a position at: Men s Facility Cornerstone Manor Thrift Stores Are you legally eligible to work in the United States: Yes No If you are under 18 years of age, can you provide required proof of your eligibility to work? Yes No Are you currently employed? Yes No May we contact your present employer? Yes No Are you available to work: Full Time Part Time Shift Work Temporary On-Call Weekends? Are you currently on lay-off status and subject to recall? Yes No Indicate any foreign languages you can speak, read and/or write. I speak read write. speak read write.

4 Employment History: Please list your employment history starting with your most recent or present job, including part time, temporary and volunteer work. Under duties, describe clearly your major responsibilities and any other tasks as they may relate to the position for which you are applying. Employer Your Job Title Dates of Employment Supervisor Name Title Phone From: Mo Yr Specific Duties To: Mo Yr Hours Per Week Monthly salary or hourly wage Employer Your Job Title Dates of Employment Supervisor Name Title Phone From: Mo Yr Specific Duties To: Mo Yr Hours Per Week Monthly salary or hourly wage Employer Your Job Title Dates of Employment Supervisor Name Title Phone From: Mo Yr Specific Duties To: Mo Yr Hours Per Week Monthly salary or hourly wage

5 References: List three persons who are not related to you and how have definite knowledge of your business or professional qualifications for the job for which you are applying. Do not repeat names of supervisors listed under work history. They may be contacted as well. Name Business/Occupation Relationship Phone Name Business/Occupation Relationship Phone Name Business/Occupation Relationship Phone Elementary School Name and Address of School Course of Study Did You Graduat e Diploma/Degre e Received High School Undergraduate College Graduate Professional Other (Specify) Specialized Skills: Check skills/equipment Operated. PC Computer Word Excel Access Internet PowerPoint Telephone Switchboard General Office Skills License and ability to drive: Bus Commercial Truck Industrial Equipment Other Comments: Applicant s Statement: I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an at will nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this at will employment relationship may not be changed by any written document or by conduct unless, such change is specifically acknowledged in writing by an authorized executive of this organization. In event of employment, I understand that false or misleading information given in my application or interview (s) may result in discharge. I understand, also, that I am required to abide by the spiritual values, rules, and regulations of the employer as specified in the Employee Manual. Signature of Applicant: _ Date: _

6 FOR OFFICE USE ONLY Title of Position Candidate s Name Date of Department Interview Interviewer s Name and Title Comments Offered Position Yes No Offer Accepted Yes No Full-time Part-time Location of Employment Start Date Department Manager s Authorization Date of Authorization Human Resources Authorization Date of Authorization Date of Orientation