AG Financial Solutions

About

Application For Employment

This application must be filled out in its entirety to be processed. Do not leave any areas blank.

Application

Position Information

Date *

Position Applying For *

Type of Position *

Full-time

Part-time

Personal Information

Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

Applicant Full Legal Name *

Mailing Address *

Contact Phone *

E-Mail Address

Birthday

Is there any information we would need about your name or use of another name for us to be able to check your work record? *

Yes

If yes, please specify.

Are you presently employed? *

Yes

Do you have any relatives who are presently (or have formerly been) employed by AG Financial Solutions or the General Council of the Assemblies of God? *

Yes

If yes, please specify.

Have you ever been employed by the General Council of the Assemblies of God? *

Yes

How were you referred to AG Financial Solutions? *

Have you ever been convicted of a felony? *

Yes

If yes, please explain.

Educational History

High School (Name, Location, Years Completed, Degree/Diploma/GED)

College (Name, Location, Years Completed, Degree/Diploma/GED)

Other (Name, Location, Years Completed, Degree/Diploma/GED)

Training and Experience

List Software or Other

Employment Record

Please include all employment for the last five years. We will contact all of the employers listed on this application unless you specifically exclude them below. (See note following). Begin with your most recent employer.

1. Name of Employer

1. Contact Phone

1. Mailing Address

1. Supervisor

1. Dates of Employment

1. Job Title

1. Rate of Pay

1. Reason for Leaving

1. Briefly describe actual job duties:

2. Name of Employer

2. Contact Phone

2. Mailing Address

2. Supervisor

2. Dates of Employment

2. Job Title

2. Rate of Pay

2. Reason for Leaving

2. Briefly describe actual job duties:

3. Name of Employer

3. Contact Phone

3. Mailing Address

3. Supervisor

3. Dates of Employment

3. Job Title

3. Rate of Pay

3. Reason for Leaving

3. Briefly describe actual job duties:

Please list any employers you do not want us to contact and your reason for the exclusion.

References

Please do not include relative or former employees.

1. Name

1. Years Known

1. Mailing Address

1. Contact Phone

1. Occupation

2. Name

2. Years Known

2. Mailing Address

2. Contact Phone

2. Occupation

3. Name

3. Years Known

3. Mailing Address

3. Contact Phone

3. Occupation

Additional Information

Employment

Personal

Work Availability

If your application receives favorable consideration, when will you be available to begin work?

Are your long-range plans to remain in the Springfield area? *

Yes

Do you have any objection to working overtime? *

Yes

Can you work overtime without prior notice? *

Yes

Can you work on a Saturday? *

Yes

Can you travel if required by this position? *

Yes

Salary/Hourly Rate Requirements

If your application receives favorable consideration, what salary/hourly rate would you consider?

Church Attendance

What church are you a member of or do you currently attend?

What is the pastor’s name?

What is the church’s phone number?

How many times per week do you attend?

Resume

Upload your resume in PDF or text document format.

Upload Resume

Applicant’s Statement

I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification or misrepresentation is grounds for dismissal in accordance with AG Financial Solutions’ policy. I authorize the references listed in this application to give you any and all information they may have and release all parties from all liability for any damage that may result from furnishing the same to you.

I understand that as an agency of the General Council of the Assemblies of God, AG Financial Solutions is a church-affiliated religious employer and requires all employees to affirm biblical beliefs and exercise biblical conduct, both publicly and privately, that is consistent with the teaching of the Assemblies of God, and that will enhance the reputation of this agency, the General Council, and affiliated churches for Christ-like living.

In consideration of my employment, I agree to be bound by the bylaws and policies of AG Financial Solutions, and to refrain from any conduct in violation of the teachings of the Assemblies of God.

I acknowledge that, if hired, my employment and compensation can be terminated at any time, with or without cause, at the option of either the company or myself.

Name *

Date *

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