Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Are you over the age of 18? *

Yes

No

Positions Applied For (Please mark all that apply)

Finance Specialist

Date Available to Start *

MM

DD

YYYY

Have you ever been convicted of a crime? *

Yes

No

Do you have any record of child abuse or dependant adult abuse in any state? *

Yes

No

Do you have a communicable disease or other health concern that could pose a threat to the health, safety, or well-being of children/other? *

Yes

No

In exchange for the consideration of my job application by Grand View Methodist Church (hereinafter called “GVMC”), I understand that, if hired, my employment would be “at-will” and could be terminated at any time by either party, with or without cause and with or without notice. I understand that GVUMC, as an Iowa non-profit religious organization, does not provide any Unemployment Benefits. *

I Agree

I understand that I must submit to a criminal and child abuse record check, obtain and maintain all licensing and training requirements, and attend all required meetings. *

I Agree

I certify that the statements I have made are true and correct to the best of my knowledge. I understand that the submission of any false information or the omission of any requested information in connection with my application for employment, whether on this document or not, may be cause for failure to hire or for immediate discharge should I be employed GVMC. *

I Agree