Christ Centered Life Store Employment Application

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1 Christ Centered Life Store Employment Application PLEASE PRINT ALL APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS PLEASE COMPLETE PAGES 1-6 DATE Name Present address Last First Middle Maiden Number Street City State Zip How long Telephone ( ) If under 18, please list age : Days/hours available to work: Position applied for (1) Salary desired (2) (Be specific) Preference Mon Tue Wed Thur Fri Sat How many hours can you work weekly? Can you work nights? Employment desired FULL-TIME ONLY PART-TIME ONLY FULL- OR PART-TIME When available for work? Can you work overtime if needed? TYPE OF SCHOOL NAME OF SCHOOL LOCATION (Complete mailing address) High School College Bus. or Trade School Professional School NUMBER OF YEARS COMPLETED MAJOR & DEGREE HAVE YOU EVER BEEN CONVICTED OF A CRIME? Yes If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation: Christ Centered Life Store 7191 Cypress Lake Dr #4 Ft. Myers, FL Tel ChristCenteredLife.com 1 of 6

2 PLEASE PRINT ALL OFFICE SKILLS Yes Typing WPM Personal Yes PC Other Computer Mac Skills If hired, can you provide proof of US Citizenship or proof of your legal right to live and work in this country? Yes If hired, would you have a reliable means of transportation to and from work? Yes Are you able to perform the essential functions & duties of the job for which you are applying? Yes If not, please describe the functions or duties you are not able to perform: Please list two references other than relatives or previous employers and how long you have known them. Name Position Company Name Position Company Tel Tel An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your FULL QUALIFICATIONS for the specific position for which you are applying. Christ Centered Life Store 7191 Cypress Lake Dr #4 Ft. Myers, FL Tel ChristCenteredLife.com 2 of 6

3 PLEASE PRINT ALL MILITARY HAVE YOU EVER BEEN IN THE ARMED FORCES? ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? Yes Yes Specialty Date Entered Discharge Date Work Experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. City, State, Zip Your last job title City, State, Zip Your Last Job Title Christ Centered Life Store 7191 Cypress Lake Dr #4 Ft. Myers, FL Tel ChristCenteredLife.com 3 of 6

4 PLEASE PRINT ALL Work experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. City, State, Zip Code Your last job title City, State, Zip Code Your last job title Christ Centered Life Store 7191 Cypress Lake Dr #4 Ft. Myers, FL Tel ChristCenteredLife.com 4 of 6

5 Please describe other training, seminars, coursework, etc. that applies to the job. Christian Product & Vendor Knowledge 1) Are there any experiences, skills, or qualifications which you feel would be helpful to us in considering your application (e.g. Bible translations with which you are familiar, types of Sunday School or VBS material you are familiar with, etc.). Have you ever been on a committee that was responsible for choosing or recommending Christian or foreign language resources? 2) With which bookstores, publishers and suppliers are you familiar? 3) What periodicals do you read regularly? 4) List five books and or authors that you have read: a. b. c. d. e. Christ Centered Life Store 7191 Cypress Lake Dr #4 Ft. Myers, FL Tel ChristCenteredLife.com 5 of 6

6 Christian Product Knowledge (cont.) 5) List the last three movies that you have seen: a. b. c. 6) List five songs or artists that you are familiar with: a. b. c. d. e. AGREEMENT I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that falsified information given in application or interview, or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date. I authorize you to make such investigations and inquiries as may be necessary in arriving at an employment decision, including contacting my past employers. My present employer may or may not be contacted. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations named in this application (and accompanying resume, if any) to provide any relevant information that may be required to arrive at an employment decision. I understand also that I am required to abide by all rules and regulations of the company and that this application is not and is not intended to be a contract of employment. I understand that my employment can be terminated, with or without cause, at any time at the discretion of either the owner, manager or myself. Did you complete this application yourself? Yes If not, who did? Christ Centered Life Store is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with us depends solely on your qualifications. Signature of Applicant Date Christ Centered Life Store 7191 Cypress Lake Dr #4 Ft. Myers, FL Tel ChristCenteredLife.com 6 of 6 This application will be considered active for a maximum of 180 days. If you wish to be considered for employment after that time, you must reapply.