Employment Application Form

Employment Application

Name*
First Middle Last
Home Address*
Street Address City State ZIP Code
Phone*
Email*
Optional - Gender
- Male
- Female
Optional - Race
- White (not of Hispanic Origin)
- American Indian/Alaskan Native
- Black (not of Hispanic origin)
- Asian/Pacific Islander
- Hispanic
Which position are you applying for?*
Where did you hear about this position?*
Have you applied for employment at The Family before? If yes, when?*
Are you legally eligible for employment in the United States?*
- Yes
- No
Have you ever been convicted of a crime?*
- Yes
- No
If yes, please explain the circumstances of the conviction(s) and the approximate date(s).
Do you have any pending criminal charges?*
- Yes
- No
If yes, please explain the circumstances of the conviction(s) and the approximate date(s).
Previous Employer - 1
Name of Previous Employer
Job Title
Are you currently employed by this company?*
If no, please explain your reason for leaving.
Beginning Date of Employment*
MM
DD
YYYY
Ending Day of Employment
MM
DD
YYYY

If you're currently working, leave it blank.
Starting Hourly Rate/Salary*
Ending Hourly Rate/Salary*
Previous Employer - 2
Name of Previous Employer
Job Title
Please explain reason for leaving.
Beginning Date of Employment
MM
DD
YYYY
Ending Day of Employment
MM
DD
YYYY

If you're currently working, leave it blank.
Starting Hourly Rate/Salary
Ending Hourly Rate/Salary
Previous Employer - 3
Name of Previous Employer
Job Title
Please explain reason for leaving.
Beginning Date of Employment
MM
DD
YYYY
Ending Day of Employment
MM
DD
YYYY

If you're currently working, leave it blank.
Starting Hourly Rate/Salary
Ending Hourly Rate/Salary
Please explain any gaps in employment.
Highest Education Completed*
- Associate Degree
- Bachelor's Degree
- Master's Degree
- High School Diploma/GED
Which college did you attend?
What did you major in college?
In what year did you receive your undergraduate degree?
Which graduate school did you attend?
What did you major in graduate school?
In what year did you receive your graduate degree?
Personal Reference*
First Last
Please list references of individuals who are not related to you.
Phone
Email
How long has this individual known you?
Professional Reference*
First Last
Please list references of individuals who not related to you.
Phone
Email
How long has this individual known you?
Spiritual Reference*
First Last
Please list references of individuals who are not related to you.
Phone
Email
How long has this individual known you?
Statement of Faith*
Please read The Family's statement of faith before finalizing your application. It can be found here: https://www.thefamily.net/about-us/
- I have read and AGREE with the statement of faith
- I have read and DISAGREE with the statement of faith
Electronic Signature*
By typing my name in the indicated fields, I hereby certify that all of the information submitted in this form is true, accurate and complete. I understand that transactions and/or signatures in records may not be denied legal effect solely because they are conducted, executed, or prepared in electronic form, and that if a law requires a record or signature to be in writing, an electronic record or signature satisfies that requirement. I further understand that false statements made knowingly and willfully on this form are punishable by fine and/or imprisonment under the provisions of 16 U.S.C. §1857 and 18 U.S.C. §1001.
First Middle Last
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I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from The Family Radio Network,Inc. (The Family), whenever it is discovered.

I give The Family the right to contact and obtain information from all references, employers, education institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability The Family and its representatives for seeking, gathering, and using such information and all other persons, corporations or organizations from furnishing such information.

The Family does not unlawfully discriminate in employment, and no question on this application is used for the purpose of limiting or excusing any application from consideration for employment on a basis prohibited by local, state or federal law.

This application is current only for 60 days. At the conclusion of this time, if I have not heard from The Family and still wish to be considered for employment, it will be necessary to fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and The Family reserves the same right to terminate my employment at any time, with or without cause and without prior notice except as may be required by law. This application does not constitute an agreement or contract for employment of any specified period or definite duration. I understand that no representative of The Family, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA.

I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.

Employment Application

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