DIVINE FAITH MINISTRIES INTERNATIONAL
EMPLOYMENT APPLICATION
(Please check location applying for):
Date:
/
/ 2007
NORTH
SOUTH
Position Desired:
PERSONAL
Last Name:
First:
Middle:
Other Names:
Address:
City:
State:
Zip:
Phone:
Alt. Phone:
Email:
EMPLOYMENT HISTORY
Present (or Last) Employer:
Address:
City:
State:
Phone:
Zip:
Supervisor:
Employment Date:
to
Starting Pay:
Ending Pay:
Position & Job Description:
Reason for Leaving:
Divine Faith Ministries International Employment Application - Revision 10-11-2007
North/ Corporate Office: 4725 River Green Pkwy, Duluth, GA 30096 / Ph: 770-814-9992 Fax: 770-24-0174
South: 9800 Tara Blvd. Jonesboro, GA 30236 / 770 -603-0025
EMPLOYMENT HISTORY (continued)
Employer:
Address:
City:
State:
Phone:
Supervisor:
Employment Date:
to
Zip:
Starting Pay:
Ending Pay:
Position & Job Description:
Reason for Leaving:
EDUCATION
High School:
City, State:
Did you graduate? Yes / No
If Yes, when?
Trade or Business School:
Did you graduate? Yes / No
Major:
If Yes, when?
University or College:
Major:
Did you graduate? Yes / No
If Yes, when?
ADDITIONAL EXPERIENCE
*Please complete all that applies*
Computer Software Experience
MS Office
MS Word
MS Power point
__ MS Windows
MS Excel
MS Publisher
MS Outlook
MS Access
______
by touch
by sight
Other
Clerical Skills
Keyboarding Speed
wpm Dictation
wpm Ten-key Touch
Divine Faith Ministries International Employment Application - Revision 10-11-2007
North/ Corporate Office: 4725 River Green Pkwy, Duluth, GA 30096 / Ph: 770-814-9992 Fax: 770-24-0174
South: 9800 Tara Blvd. Jonesboro, GA 30236 / 770 -603-0025
CHARACTER REFERENCES
Three references are needed. If you are not a member of Divine Faith Ministries International or if you do not
use a Divine Faith Ministries employee as a reference, please supply three “Other References”.
DFMI Staff Member:
Phone:
Years Known:
Alt. Phone:
DFMI Ministry Reference:
Years Known:
Phone:
Alt. Phone:
Other References:
Years Known:
Occupation:
Phone:
Other References:
Years Known:
Occupation:
Phone:
Other References:
Years Known:
Occupation:
Phone:
Divine Faith Ministries International Employment Application - Revision 10-11-2007
North/ Corporate Office: 4725 River Green Pkwy, Duluth, GA 30096 / Ph: 770-814-9992 Fax: 770-24-0174
South: 9800 Tara Blvd. Jonesboro, GA 30236 / 770 -603-0025
CHURCH LIFE
Denomination:
Name of Church (where you hold membership):
Location:
What church activities, ministries do (did) you participate in?
What positions in the church have you volunteered or been employed for?
WORK HISTORY
Have you ever had your licensed suspended or revoked by a professional body or state agency?
Yes
No If yes, explain the circumstances
How many days were you late to work last year?
How many days were you absent last year?
CRIMINAL RECORD
Other than a minor traffic offense, have you ever been convicted of a crime? Yes / No
If yes, please explain
Divine Faith Ministries International Employment Application - Revision 10-11-2007
North/ Corporate Office: 4725 River Green Pkwy, Duluth, GA 30096 / Ph: 770-814-9992 Fax: 770-24-0174
South: 9800 Tara Blvd. Jonesboro, GA 30236 / 770 -603-0025
OTHER PERSONAL INFORMATION
ADA Accommodations: The law states, “A disabled individual means a person who (10 has a physical
or mental impairment that substantially limits one or more major life activity; (2) has a record of such
impairment; or (3) is regarded as having such impairment”.
Do you have any limitations due to your disability that may affect your ability to perform the job
properly and safely? Yes / No If yes, please explain
Are there any accommodations we could make that would enable you to perform the job properly
and safely? Yes / No If yes, please explain
Divine Faith Ministries International Employment Application - Revision 10-11-2007
North/ Corporate Office: 4725 River Green Pkwy, Duluth, GA 30096 / Ph: 770-814-9992 Fax: 770-24-0174
South: 9800 Tara Blvd. Jonesboro, GA 30236 / 770 -603-0025
CONDITIONS OF EMPLOYMENT
*Please read the following carefully as it constitutes conditions for employment with Divine Faith Ministries
International.
I certify that the information given by me to Divine Faith Ministries International is true, accurate, and complete to the
best of my knowledge. I understand that any false statement on the application, resume, or during the interview or hiring
process may result in refusal of employment, or if employed, immediate termination from Divine Faith Ministries
International employment.
I further certify that I am not engaged in any outside activity or business that could be considered in conflict with the
interests of Divine Faith ministries International, nor will I become engaged in any such activity or business if employed.
I authorize Divine Faith Ministries International the right to solicit any information regarding my character, general
reputation, previous employment, and similar background information, and to contact any and all references I have
submitted on my application.
I understand that this church is an “at-will” employer, and that employment may be terminated at any time with or
without cause. This status is not to be altered unless we enter a contract that specifically addresses and replaces the “atwill” employment status.
I agree to protect any and all confidential information I may come in contact with.
Print Name:
Signature of Applicant:
Date:
For background check and employment verification purposes only, please provide the following:
Social Security Number:
Date of Birth:
Divine Faith Ministries International Employment Application - Revision 10-11-2007
North/ Corporate Office: 4725 River Green Pkwy, Duluth, GA 30096 / Ph: 770-814-9992 Fax: 770-24-0174
South: 9800 Tara Blvd. Jonesboro, GA 30236 / 770 -603-0025