SGA Employment Application by fpk13484

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									SGA Employment Application
(personal and confidential)

General Information:

Legal name: _________________________________________________________________________________
Mailing address: _____________________________________________________________________________
___________________________________________________________________________________________
Permanent address: __________________________________________________________________________
___________________________________________________________________________________________
Email address:_______________________________________________________________________________
Home phone: (       ) __________________________Office/school phone: (          ) __________________________
Cell: (    ) ___________________________When is the best time to reach you? _________________________
Male/Female: _________________Date of birth: ______/_______/______ Marital status: __________________
Social security number: _______________________________________
Passport number: _______________________________________________Date of expiration: ____/____/_____
Are you a US citizen? yes        no      If no, do you have the legal right to work in the US? _______________
Green card number: _________________________
Have you ever been convicted of a crime? yes no If yes, please explain:___________________________
___________________________________________________________________________________________
Position:
Position you are applying for: ___________________________________________________________________
How did you hear about this job? ________________________________________________________________
When are you available to begin work with SGA? ___________________________________________________
Are you willing to travel if a job requires it?   yes no
Hours available to work: Full-timePart-time (please list days and hours): ___________________________


Health:
1. Is your health: Excellent Good Fair Poor
2. Do you have any health problems which may limit your ability to perform the ministry for which you have
applied? yes no If yes, please explain: ______________________________________________________
__________________________________________________________________________________________


Church/Spiritual Background:
1. When did you become a Christian? _______________________________________________________
2. Name, address, phone and denomination of church you are now attending:_________________________
________________________________________________________________________________________
3. Hong long have you attended this particular church? _____________________________________________
4. Are you a licensed minister? yes no        Ordained? yes no          By whom?______________________
___________________________________________________________________________________________


Emergency:
Please list two emergency contacts:
1. Name: ________________________________________ Relationship to you: __________________________
Address: ____________________________________________________________________________________
Home phone: (      ) _____________________________ Work phone: (             )_____________________________
Cell: (    ) ____________________________________
2. Name: ________________________________________ Relationship to you: __________________________
Address: ____________________________________________________________________________________
Home phone: (      ) _____________________________ Work phone: (             )_____________________________
Cell: (    ) ____________________________________


Education:
Provide education information for all schools attended, beginning with high school. Please include high school,
college, secretarial, technical, Bible institute, seminary etc.

  School                        City/State          Dates Attended   Major Date of Graduation   Diploma/Degree

1.__________________________________________________________________________________________
2.__________________________________________________________________________________________
3.__________________________________________________________________________________________
4.__________________________________________________________________________________________
5.__________________________________________________________________________________________


Employment Experience: (Present or last employer)
1. Employer: _________________________________________Dates employed: from ____/____ to ____/____
Name of last supervisor: _________________________________
Address: ____________________________________________________________________________________
Phone: (    ) ____________________________Type of work/Title: ___________________________________
Reason for leaving: ___________________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at
this company: _______________________________________________________________________________
___________________________________________________________________________________________
May we contact your employer? yes no
2. Employer: _________________________________________Dates employed: from ____/____ to ____/____
Name of last supervisor: _________________________________
Address: ____________________________________________________________________________________
Phone: (     ) ___________________________Type of work/Title: ____________________________________
Reason for leaving: ___________________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at
this company: _______________________________________________________________________________
___________________________________________________________________________________________
May we contact your employer? yes no


3. Employer: _________________________________________Dates employed: from ____/____ to ____/____
Name of last supervisor: _________________________________
Address: ____________________________________________________________________________________
Phone: (     ) ____________________________Type of work/Title: ___________________________________
Reason for leaving: ___________________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at
this company: _______________________________________________________________________________
___________________________________________________________________________________________
May we contact your employer? yes no


Salary:
What is your current annual salary level? ______________________
What did your benefits include? _________________________________________________________________
What is your desired salary for this job? _______________________
Are you willing to raise your own support? ________________________________________________________
If yes, have you received the SGA support guidelines?     yes    no


References:
List three references, including pastor, spiritual leader, and someone acquainted with your qualifications in your
specified area of service.

Pastor
Name: _____________________________________________________Length of acquaintance: ____________
Church name: _______________________________________________________________________________
Church address: _____________________________________________________________________________
Work phone: (      ) ___________________________ Cell phone: (           ) ________________________________
Teacher, business associate, former employer:
Name: _____________________________________________________Length of acquaintance: ____________
Address: ___________________________________________________________________________________
Work phone: (      ) ___________________________ Cell phone: (            ) ________________________________

Other, peer, friend:
Name: _____________________________________________________Length of acquaintance: ____________
Church name: _______________________________________________________________________________
Church address: _____________________________________________________________________________
Work phone: (      ) ___________________________ Cell phone: (            ) ________________________________


Skills:
Computer:       PC      Mac Both
Applications: ________________________________________________________________________________
Other skills: _________________________________________________________________________________
___________________________________________________________________________________________


Use this space to add any additional information necessary to describe your full qualifications for the position for
which you are applying:




                           Please attach your 1-2 page written testimony and return to:

                                          Strategic Global Assistance
                                               2601 Benham Ave
                                               Elkhart, IN 46517
                                             Fax: (574) 295-4673
                                                       or
                                              Malcolm@sgai.org

								
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