To applicant: We deeply appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will aid us in placing you in the position that best meets your qualification.

Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Position Applied For {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Rate of Pay Expected Per Hour {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Present Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Social Security Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you legally eligible for employment in the USA? (Proof of U.S. citizenship or immigration status will be required upon employment) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State age if under 18 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you ever been employed here before? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, when were you last employed here? What position? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Hours and days available {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If selected, on what date will you be able to work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you been convicted of a crime other than a traffic violation? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, please explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Criminal convictions are not an absolute bar to employment, but will be considered in relation to specific job requirements.

Are you able to meet the attendance requirements of the position? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

May we contact your current employer? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

EMPLOYMENT HISTORY

From {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

To {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Job title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Wage {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Name of Supervisor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Summarize the nature of work and job responsibilities. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reason for leaving: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

List previous two (2) employers, starting with the most recent, including military experience:

Job {binding ItemNumber}

From: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

To: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Job Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Wage: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Name of Supervisor: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Summarize the nature of work and job responsibilities: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reason for leaving: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

SKILLS AND QUALIFICATIONS:

Summarize special skills and qualifications acquired from employment or other experiences that may qualify you to work for us: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

EDUCATIONAL BACKGROUND

High School

Name and location of High School: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Years completed: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Did you graduate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

College

Name and location of college {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Years completed: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Did you graduate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Major: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Degree: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Course of Study: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

OTHER

Name and location: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Years completed: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Did you Graduate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Any other information: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

PERSONAL REFERENCES (not former employees or relatives)

REFERENCE 1

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Years Known: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

REFERENCE 2

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Years known: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

REFERENCE 3

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Years Known: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How did you hear about this position? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If employee referral, who was it? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

List any friends or relatives working for us: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

PLEASE READ AND SIGN BELOW

Mennonite Friendship Communities (mfc) has a policy of pre-employment screening for the use of illegal drugs and substance abuse. All offers of employment are continent on submission to this company’s drug/alcohol screening procedure and a “negative” drug test result. Any contingent offer of employment will be withdrawn if the applicant tests positive for any illegal drugs or substance abuse.

I understand that according to federal law all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and U.S. citizen status, or if not, their legal authorization to work in the U.S. As a consequence, I understand that any offer of employment would be continent on my ability to produce the required documentation within the first 3 days of employment.

I give mfc the right to investigate all personal history and references from former employers, pertinent to my employment. I hereby release from liability mfc and its representatives for seeking such information, and all other persons, corporations, or organizations from furnishing such information.

I hereby certify that the information set forth in my application for employment is true and complete. I understand that false or incomplete statements on this application shall be considered grounds for disqualification for employment or sufficient cause for dismissal.

This application is current for only 60 days. After this time, if I have not heard from mfc and still wish to be considered for employment, it will be necessary to fill out a new application.

MFC is an Equal Opportunity Employer and does not discriminate in employment. We recruit, select, hire, transfer, place and promote for all job classifications without unlawful discrimination based on race, color, religion, sex, age, national origin, ancestry, disability, veteran status, genetic information, or any other unlawful reason. We make all decisions on employment based solely on an individual’s qualifications related to the position being filled. No question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state, or federal law.

I understand that just as I am free to resign at any time, mfc reserves the right to terminate my employment at any time with or without cause and without prior notice. I understand that no representative of mfc has the authority to make assurances to the contrary.

Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Send us your resume: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

EMPLOYMENT HISTORY

List previous two (2) employers, starting with the most recent, including military experience:

Job {binding ItemNumber}

SKILLS AND QUALIFICATIONS:

EDUCATIONAL BACKGROUND

High School

College

OTHER

PERSONAL REFERENCES (not former employees or relatives)

REFERENCE 1

REFERENCE 2

REFERENCE 3

PLEASE READ AND SIGN BELOW

EMPLOYMENT HISTORY

List previous two (2) employers, starting with the most recent, including military experience:

Job {binding ItemNumber}

SKILLS AND QUALIFICATIONS:

EDUCATIONAL BACKGROUND

High School

College

OTHER

PERSONAL REFERENCES (not former employees or relatives)

REFERENCE 1

REFERENCE 2

REFERENCE 3

PLEASE READ AND SIGN BELOW

Your progress has been saved.

EMPLOYMENT HISTORY

List previous two (2) employers, starting with the most recent, including military experience:

Job {binding ItemNumber}

SKILLS AND QUALIFICATIONS:

EDUCATIONAL BACKGROUND

High School

College

OTHER

PERSONAL REFERENCES (not former employees or relatives)

REFERENCE 1

REFERENCE 2

REFERENCE 3

PLEASE READ AND SIGN BELOW