Monticello Illinois United Methodist Church

Employment Application

Applicant Information

First Name

Last Name

date of application

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Position applied for

Education

High School

High School Name

School Address

Dates Attended

Did You Graduate

Yes

No

Diploma

College

College/University name

Address

Dates Attended

Did You Graduate

Yes

No

Diploma

Other:

school name

Address

Dates Attended

Did You Graduate

Yes

No

Diploma

References

Please list three professional references

reference 1

First Name

Last Name

relationship

Company

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Reference 2

First Name

Last Name

relationship

Company

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Reference 3

First Name

Last Name

relationship

Company

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Previous Employment

Company

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Supervisor's name

First Name

Last Name

Job title

Dates Employed

Job Responsabilities

May we contact your previous supervisor for a reference?

Yes

No

Company

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Supervisor's name

First Name

Last Name

Job title

Dates Employed

Job Responsabilities

May we contact your previous supervisor for a reference?

Yes

No

Military Service

Branch

Dates in service

Rank at discharge

type of discharge

if other than honorable, please explain

Further Qualifications or skills (CPR, First Aid or any memberships in professional organizations)

Please list the type and date of certification/memberships

Disclaimer and Signature

I Certify that my answers are true and complete to the best of my knowledge

I consent to a background check

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release

Signature

Employment Application

Applicant Information

Education

High School

College

Other:

References

Please list three professional references

reference 1

Reference 2

Reference 3

Previous Employment

Military Service

Further Qualifications or skills (CPR, First Aid or any memberships in professional organizations)

Disclaimer and Signature

I Certify that my answers are true and complete to the best of my knowledge

I consent to a background check

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release

About

Monticello UMC
2020 E. Washington
Monticello, IL 61856
217-762-2579

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Employment Application

Applicant Information

Education

High School

College

Other:

References

Please list three professional references

reference 1

Reference 2

Reference 3

Previous Employment

Military Service

Further Qualifications or skills (CPR, First Aid or any memberships in professional organizations)

Disclaimer and Signature

I Certify that my answers are true and complete to the best of my knowledge

I consent to a background check

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release

AboutMonticello UMC2020 E. WashingtonMonticello, IL 61856217-762-2579

Service Times

Follow Us

About

Monticello UMC
2020 E. Washington
Monticello, IL 61856
217-762-2579