Employee Application

This application is to be completed by all potential employees.  It is used to help the ministry provide a safe and nurturing environment for its families and children, and to learn more about you as a potential employee.  The following questions are personal and for a variety of reasons may be difficult to answer. Your responses do not automatically exclude you from being considered for a position, but will help us determine your readiness for ministry at this time.

Before beginning, please set aside ample time to complete the detailed application in it's entirety.  Once you begin, you are unable to stop and return to where you left off.

Please fill out every single blank on the application and hit the Submit button for proper submission. Once submitted, a "thank you" will pop up confirming form submission.

Name *
Name
Gender *
Date of Birth *
Date of Birth
Address *
Address
Marital Status *
In case of emergency, notify: *
In case of emergency, notify:
Phone Number *
Phone Number
Mercy Street Statement of Faith
We believe the Bible is God’s infallible Word. We believe the Father, Son and Holy Spirit are co-equal and co-eternal. We believe Jesus Christ is God in the flesh and our only Savior. We believe God created man in His image, but that image is horribly marred by sin. We believe everyone has sinned and is in need of forgiveness. We believe Christ died for our sins and rose again to save us and to free the world from bondage to sin. We believe Salvation is a gift of God by grace alone through faith alone. We believe Christians are responsible to love God, love their neighbors and to make disciples of all nations. We believe Jesus is returning in flesh to judge the world, claim His Kingdom and restore Shalom to earth. We believe everyone will spend eternity in heaven or hell.
Electronic signature
Are you a member? *
Employee Questionnaire
References
Required: Each applicant must submit the names, emails and phone numbers of one previous employment positions, one personal refence and one pastoral reference (church pastor, missions pastor, small group leader, mentor). All information obtained by your references will remain confidential. *One of these references should be a person of the opposite sex.
Professional/Employment Reference
Name *
Name
Address *
Address
Phone Number *
Phone Number
Personal Reference
Name *
Name
Address *
Address
Phone Number *
Phone Number
Pastoral Reference
Name *
Name
Address *
Address
Phone Number *
Phone Number
Criminal/Driving Record
Please read the following statement carefully before signing:
I, the undersigned, hereby agree to hold Mercy Street Ministries and all persons or organization connected with Mercy Street Ministries harmless from liability. I hereby release Mercy Street Ministries to obtain information from my references, and agree to hold harmless from liability any person or organization that provided information concerning me to Mercy Street Ministries. I understand that all information gathered will be kept confidential. I agree that all information in this application is true. I understand that all information collected in this form will be used to conduct a background check, and I authorize representatives of Mercy Street Ministries to conduct state and federal background checks.
Legal Name *
Legal Name
Date *
Date