Name:
Address:
City:
State:
Zip/Postal Code:
Country:
Telephone #:

Where is present church membership?
Pastor's name:
Date you will be available to start work:
Are you able to meet the attendance requirements?	Yes No
Do you have an objection to working overtime, if necessary?	Yes No
Can you travel, if required?	Yes No
Can you submit proof of legal employment authorization and identity?	Yes No
Have you ever been divorced?	Yes No
Have you ever been convicted of a crime?	Yes No
If yes, please explain (a conviction will not automatically disqualify you from employment):
Driver's License Number (if driving is an essential job duty):
State from which Driver's License Issued:
How were you referred to us?

EDUCATION

Years of school completed:

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Over 20

High School: Name: Address: Degree / Diploma: Graduation Date::

Colleges/Universities Attended:

Name:
No. of Years Attended:
Degree Attained:
Name:
No. of Years Attended:
Degree Attained:
Name:
No. of Years Attended:
Degree Attained:
Name:
No. of Years Attended:
Degree Attained:
Name:
No. of Years Attended:
Degree Attained:

Field of Study:
List languages you speak, read, or write:
Do you have ministerial credentials?	Yes No
Are or were you ever a CFNI student?	Yes No
If yes, Student ID#:
Graduation Date (If current student, expected graduation date):	Month ----------- January February March April May June July August September October November December   Year
Have you served in the U.S. Military?	Yes No
If yes, which branch?
What type of discharge did you recieve?

ACCOMMODATIONS

Can you perform the functions of this job without reasonable accommodations?	Yes No
If no, please describe any reasonable accommodations you would need to perform the functions on this job:

EMPLOYMENT HISTORY
List all present and past employment, beginning with your most recent

COMPANY #1

Name of Company:
Address:
City:
State:
Zip/Postal Code:
Country:
Telephone #:
Name of Supervisor:
Employment Dates:	From: Month ----------- January February March April May June July August September October November December   Year
	To: Month ----------- January February March April May June July August September October November December   Year
Position Held:
Job Summary:
Monthly Starting Salary:
Monthly Ending Salary:
Reason for Leaving:

COMPANY #2

Name of Company:
Address:
City:
State:
Zip/Postal Code:
Country:
Telephone #:
Name of Supervisor:
Employment Dates:	From: Month ----------- January February March April May June July August September October November December   Year
	To: Month ----------- January February March April May June July August September October November December   Year
Position Held:
Job Summary:
Monthly Starting Salary:
Monthly Ending Salary:
Reason for Leaving:

COMPANY #3

Name of Company:
Address:
City:
State:
Zip/Postal Code:
Country:
Telephone #:
Name of Supervisor:
Employment Dates:	From: Month ----------- January February March April May June July August September October November December   Year
	To: Month ----------- January February March April May June July August September October November December   Year
Position Held:
Job Summary:
Monthly Starting Salary:
Monthly Ending Salary:
Reason for Leaving:

COMPANY #4

Name of Company:
Address:
City:
State:
Zip/Postal Code:
Country:
Telephone #:
Name of Supervisor:
Employment Dates:	From: Month ----------- January February March April May June July August September October November December   Year
	To: Month ----------- January February March April May June July August September October November December   Year
Position Held:
Job Summary:
Monthly Starting Salary:
Monthly Ending Salary:
Reason for Leaving:

COMPANY #5

Name of Company:
Address:
City:
State:
Zip/Postal Code:
Country:
Telephone #:
Name of Supervisor:
Employment Dates:	From: Month ----------- January February March April May June July August September October November December   Year
	To: Month ----------- January February March April May June July August September October November December   Year
Position Held:
Job Summary:
Monthly Starting Salary:
Monthly Ending Salary:
Reason for Leaving:

PERSONAL REFERENCES
Do not include relatives or employers

REFERENCE #1

Name:
Address:
City:
State:
Zip/Postal Code:
Telephone #:
Years Known:
Ocupation/Position:

REFERENCE #2

Name:
Address:
City:
State:
Zip/Postal Code:
Telephone #:
Years Known:
Ocupation/Position:

REFERENCE #3

Name:
Address:
City:
State:
Zip/Postal Code:
Telephone #:
Years Known:
Ocupation/Position:

POSITIONS, SKILLS, AND OTHER QUALIFICATIONS

Position Desired:	*
Full Time or Part Time?	Full Time Part Time
If Part Time, specify days and hours:
Starting Salary Desired:
Were you previously employed by Christ For The Nations, Inc.?	Yes No
If yes, when?
List any friends or relatives working for Christ For The Nations, Inc. other than spouse:
Describe your computer experience including computer software programs with which you have experience:
Summarize any job-related training, skills, licenses, certificates, and/or other qualifications:

You are hereby notified that this company has Workers' Compensation insurance coverage under the Texas Workers' Compensation Act. All employees must comply with the following company policies: 1. Report immediately every injury or incident, no matter how minor, to your supervisor, manager or other person in charge at the time. 2. Notify the company of expected recovery time immediately after primary medical treatment and after all other doctor appointments. 3. Complete an Employee Statement as soon as possible. 4. Follow all doctors' orders fully and keep all scheduled appointments. 5. Notify the company immediately when the doctor releases you for work.