Employment + Non Paid Intern Interest Form

Summit Church is a church where Every Life is Made Different. Summit is looking for ministry-focused, Christ-centered individuals to help further that mission.

Your name *

Email address *

Applicant Information

Address *

Phone number *

Gender *

Birthdate *

Date available to start working *

Position applying for? *

Are you a citizen of the United States *

Have you ever worked for this company? *

Have you ever been reprimanded as a student or employee for harassment of another individual or other inappropriate behavior with another individual? *

Have you ever been accused of or charged with unethical or immoral conduct or behavior? *

Have you ever been accused of, arrested, charged, or convicted of a crime or DUI, or other felony or misdemeanor? *

Has anyone ever brought or threatened to bring a civil or criminal claim against you alleging harassment, physical abuse, sexual misconduct or sexual abuse? *

Education

Attended High School?

Attended College?

Professional References

Professional Reference #1: Name *

Professional Reference #2: Name *

Professional Reference #3: Name *

Previous Employment

Company #1

Company #2

Company #3

Military Service

Have you ever or are you currently serving in the Armed Forces? *

Resume & Clearances

Employment clearances should state that they are for employment purposes and not volunteer. Employment clearances include: FBI Fingerprinting, PSP (Pennsylvania State Police) and Child Abuse.

Do you have a resume you would like to upload?

Do you have any EMPLOYMENT clearances you would like to upload?

Disclaimer & Agreement

I certify that my answers are true and complete to the best of my knowledge. *

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

Please type your full name to act as a signature on this form. *

Today's Date *