Application For Employment  
     
The following information is requested in order to help us make the best possible placement within Brown Church Development Group (BCDG). All portions of this application pertaining to you must be completed. We appreciate the time you spend in completing this application form. The company follows all applicable federal, state, and local laws regarding prohibited forms of discrimination.
     
     
Personal Data
     
 
How did you hear about us?
 
 
 
First Name:
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Last Name:
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Home / Personal Phone:
 
Alternate Phone:
 
Home Address:
 
City:
 
State:
 
Zip Code:
 
Email:
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Indicate position for which you are applying:
 
What is your salary expectation:
 
How did you hear about this position:
 
Please list other positions you would like to be considered for:
 
Have you ever applied for a job at BCDG before:


If yes, when?
 
Have you ever been employed by BCDG or any of it's subsidiaries:
If yes, when?
 
How soon would you be available for employment:
 
 
  To comply with the federal Immigration Reform and Control Act, BCDG requires all new hires to show proof of their eligibility to work in the United States. Failure to produce the required documents will cause BCDG to withdraw its job offer and terminate an individual's employment.
         
 
Are you legally eligible to work in the United States:
    
 
Are you 18 years of age:
    
 
Have you ever been convicted of a felony:
    
 
If Yes, Please Explain:

Skills
     
 
List office machines, equipment, or machinery you can operate that relate to the area for which you are applying:
 
Typing Speed:
 
Other office equipment operated:
 
Software knowledge:
 
Construction equipment operated:
 
Technical Skills:
 
 
Education
               
 
Name
Location
  
Dates
Courses or Major
Graduate
Degree Received
   
Yes
         
 
  From:
Yes
    To:  
 
  From:
Yes
    To:  
 
  From:
Yes
  To:
       
Professional Organizational Membership:
 Dated:
Professional Licenses or Certifications
 Dated:
     
Employment History
           
  1.
Employer:
    
   
Job Title:
    
   
Employed from:
 to:
   
Address:
    
   
City:
    
   
State:
    
   
Telephone:
    
   
Starting Salary:
 $ ending: $
   
Duties:
   
Reason for Leaving:
   
     
   
     

           
  2.
Employer:
    
   
Job Title:
    
   
Employed from:
 to:
   
Address:
    
   
City:
    
   
State:
    
   
Telephone:
    
   
Starting Salary:
 $ ending: $
   
Duties:
   
Reason for Leaving:
   
     
   
     

           
  3.
Employer:
    
   
Job Title:
    
   
Employed from:
 to:
   
Address:
    
   
City:
    
   
State:
    
   
Telephone:
    
   
Starting Salary:
 $ ending: $
   
Duties:
   
Reason for Leaving:
   
     
   
     

           
  4.
Employer:
    
   
Job Title:
    
   
Employed from:
 to:
   
Address:
    
   
City:
    
   
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Telephone:
    
   
Starting Salary:
 $ ending: $
   
Duties:
   
Reason for Leaving:
   
     
   
     

References
   
  List four persons (other than relatives or former employers) who have knowledge of your skills and abilities in the area for which you have applied.
     
 
Reference 1
  
 
First Name:
 
Last Name:
 
Home / Personal Phone:
 
Alternate Phone:
 
Address:
 
City:
 
State:
 
Zip Code:
 
How they know you:
     

 
Reference 2
  
 
First Name:
 
Last Name:
 
Home / Personal Phone:
 
Alternate Phone:
 
Address:
 
City:
 
State:
 
Zip Code:
 
How they know you:
     

 
Reference 3
  
 
First Name:
 
Last Name:
 
Home / Personal Phone:
 
Alternate Phone:
 
Address:
 
City:
 
State:
 
Zip Code:
 
How they know you:
     

 
Reference 4
  
 
First Name:
 
Last Name:
 
Home / Personal Phone:
 
Alternate Phone:
 
Address:
 
City:
 
State:
 
Zip Code:
 
How they know you:
     

Additional Information
     
 

Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, activities, accomplishments, etc.