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Job Application

Job Application

Name*
First Last
Date Of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Do you have any relatives or friends that are presently employed with the Company?*
- Yes
- No
If Yes, name friend/relative:
Have you ever worked for this Company before?*
- Yes
- No
If yes, please provide where and when:
Only U.S. Citizens or Aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon employment, provide genuine documentation establishing your identity and eligibility to be legally employed in the United States?*
- Yes
- No
Are you over the age of 18 years?*
- Yes
- No
Have you ever been convicted of or pled guilty to a felony or misdemeanor?*
- Yes
- No
If Yes, please explain:
Do you have any personal responsibilities or problems that might prevent you form coming to work every day?*
- Yes
- No
If Yes, please explain:
Employment History
Name of Employer
First
Phone
Date of Last Work Day
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Description
Next Previous Employer
Name of Employer
First
Phone
Date of Last Work Day
MM slash DD slash YYYY
Job Description
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Next Previous Employer
Name of Employer
First
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Last Work Day
MM slash DD slash YYYY
Job Description
Education History
High School
Name of School*
First
Graduated
- Yes
- No
College
Name of School
First
Graduated
- Yes
- No
Graduate School
Name of School
First
Graduated
- Yes
- No
Personal References
Personal Reference 1
Name
First Last
Job Title
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Personal Reference 2
Name
First Last
Job Title
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Personal Reference 3
Name
First Last
Job Title
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional Experiences or Qualifications
List any other expericne, skills or other qualifications including hobbies, which you believe should be considered in evaluating your qualifications for employment. Please indicate any prior military service which you would like us to consider in connection with your application for employment.
I certify that all answers given by me are true, accurate and complete, I understand that the falsification, misrepresentation or omission of facts on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination or employment, regardless of when or how discovered. Questions regarding this statement should be directed to any employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed. It is the policy of Louisiana Baptist Convention to afford equal opportunity to all employees and applicants for employment without regard to age, race, color, sex, national origin, marital status, expunged juvenile records, or pregnancy, and to afford equal opportunities to disabled veterans of the Vietnam era, and individuals with a disability, any other characteristic protected by Federal, State, or Local law. It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the Executive Board of the Louisiana Baptist Convention service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, with or without cause and wihtout prior notice. I understand that no representative of the Executive Board has the authority to make any assurances to the contrary. I give the Executive Board of the Louisiana Baptist Convention the right to investigate all refernces and to secure additional information about me, if job related. I hereby release from liability the Executive Board and its representatives for seeking such information and all other persons, corporations for furnishing such information.
Signature*
First Last
Date*
MM slash DD slash YYYY

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Tall Timbers Baptist Conference Center

Office Phone:
318-445-6797

Email:
talltimbers@talltimbersbcc.org

Physical Address:
10218 Hwy. 165 South
Forest Hill, LA 71430

Mailing Address:
P.O. Box 258
Woodworth, LA 71485

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