Application for Employment s24

MEL TROTTER MINISTRIES 225 Commerce ∙Grand Rapids ∙ MI ∙49503 ∙ (616) 454-8249 ∙ www.meltrotter.org APPLICATION FOR EMPLOYMENT

Date______

Name: ______Phone: ______(Last) (First) (Middle)

Address ______(Street) (City) (State) (Zip)

Email: ______Social Security Number:______

If you are under 18 years of age can you provide a work permit? ______Salary Desired: ______

Position(s) Applying For ______

How did you learn of this opening?______Date available for work: ______

Type of employment desired (check all that apply): Full-time Part-time Evenings Days

Weekends Nights Seasonal Temporary

AVAILABILITY: Please indicate the times that you are usually available for work. Sunday Monday Tuesday Wednesday Thursday Friday Saturday

EDUCATION INFORMATION

Did you complete high school? YES NO DIPLOMA? YES NO GED? YES NO _____

Name of last high school attended: ______City & State: ______

Are you currently a student? YES NO Full Time Part Time Major: ______

If you are a student, what is your current status? ______

Are you planning to pursue further studies? YES NO Explain: ______

Sept 2012 List other certifications, licenses, or specialized training: ______

Name City/State Course of Study Years Did you Degree Attend Gradua Certificati ed te on College

Business,Te ch or Trade Other

EMPLOYMENT HISTORY

List below your last four employers. Please begin with your current or most recent job first.

1. EMPLOYER: ______Phone Number: ______

Address: ______

Job Title: ______Dates of Employment: From______To______(mo/yr) (mo/yr)

Salary: start______end ______Describe your duties and responsibilities:______

Supervisor:______Phone No. /Extension: ______Title:______

Reason for leaving:

2. EMPLOYER: ______Phone Number: ______

Address: ______

Job Title: ______Dates of Employment: From______To______(mo/yr) (mo/yr)

Salary: start______end ______Describe your duties and responsibilities:______

Supervisor:______Phone No. /Extension: ______Title:______

Reason for leaving:

3. EMPLOYER: ______Phone Number: ______

Address: ______

Sept 2012 Job Title: ______Dates of Employment: From______To______(mo/yr) (mo/yr)

Salary: start______end ______Describe your duties and responsibilities:______

Supervisor:______Phone No. /Extension: ______Title:______

Reason for leaving:

4. EMPLOYER: ______Phone Number: ______

Address: ______

Job Title: ______Dates of Employment: From______To______(mo/yr) (mo/yr)

Salary: start______end ______Describe your duties and responsibilities:______

Supervisor:______Phone No. /Extension: ______Title:______

Reason for leaving: Please write the number(s) of any employer(s) you do not want us to contact:: ______

Sept 2012 If your name has changed or you have gone by another name during any periods of employment, please list name(s): ______

Can you, upon conditional offer of employment, provide genuine documentation establishing identity and eligibility to be legally employed in the United States? ______Have you ever been convicted of a felony? ______

If yes, give dates and explain: ______

______

CONVICTION WILL NOT NECESSARILY DISQUALIFY AN APPLICANT FROM EMPLOYMENT.

REFERENCES List three personal references not related to you.

Name Phone Occupation Years Number Known

Please use the space below to share your Christian testimony; you may use additional paper as needed.

Sept 2012 APPLICANT’S CERTIFICATION

I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by Mel Trotter Ministries (MTM) or any of its agents unless I have indicated on this form to the contrary.

I understand and agree that: - Any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer or, if I am hired, in my dismissal from employment. - All offers of employment are conditioned on the provision of satisfactory proof of an applicant’s identity and legal authority to work in the USA. - A routine inquiry may be made during the processing of this application and I authorize MTM and their representatives to consult with administrators/supervisors/references and academic institutions with which I have been associated and with others who may have information bearing on my professional competence. I release from liability MTM as well as any and all individuals, corporations or organizations for furnishing such information.

I understand that because MTM is a Christian organization whose purpose is to share the gospel of Jesus Christ; employment with MTM is subject to acceptance, agreement, and subscription to the Statement of Faith.

In consideration of my employment, I agree to conform to the rules and standards of Mel Trotter Ministries and that my employment and compensation can be terminated AT WILL, with or without cause, and with or without notice, at any time, either at my option or at the option of MTM.

______(Signature) (Date)

Mel Trotter Ministries (MTM) is a 501 (c)3, charitable, non-profit, Christian organization. As such, MTM exercises our legal rights as it relates to discrimination because of religious beliefs under a BFOQ. It is the policy of MTM to grant equal opportunities for employment to all qualified individuals without regard to race, color, sex, age, national origin, political affiliation, non-job related handicap or disability.

STATEMENT OF FAITH

We believe the Bible to be the inspired infallible, ultimate authoritative Word of God.

We believe there is one God, eternally existing as the Father, Son and Holy Spirit.

We believe that the Lord Jesus Christ is deity that He was born of a virgin, that we are redeemed by His atoning death through His shed blood, that He bodily resurrected and ascended into Heaven, and that He will come again in power and great glory.

We believe that men and women are saved only through a direct, personal encounter with the risen Lord, at which time they are regenerated by the Holy Spirit. This event we hold to be an experience rather than a doctrinal supposition.

We believe in the present ministry of the Holy Spirit, by whom Christ indwells each believer enabling him or her to live a godly life of obedience as he or she reaches for maturity.

Sept 2012 We believe the Holy Spirit unites all true believers in the Lord Jesus Christ and that together they form one body, the church.

QUESTIONNAIRE FOR APPLICANTS – INDIVIDUAL CONTRIBUTOR Position Applying For: ______Mel Trotter Ministries (MTM)

Thank you for your interest in MTM and the people we serve. We are privileged to see lives transformed every day through the good news of Jesus Christ.

We trust that God will send the right person with all the skills and experience we need at this time. Please take the time to review this questionnaire. Use additional space as needed.

If you remain interested, please complete and return it at your earliest convenience. You may either submit the questionnaire electronically as an attachment to Melissa Watson at [email protected] or send it to MTM, 225 Commerce, Grand Rapids, MI 49503 to the attention of Melissa Watson. Thank you.

Your name: Date: ______Phone(s): Email: ______

OUR VALUES Faithful Accountable Teachable

1. What do these values tell you about Mel Trotter Ministries (MTM)?

2. Please explain why you’d like to work for MTM.

3. We are a Christian ministry. To you, personally, who is Jesus Christ?

4. Share with us about a time where the Lord has extended His grace to you and how that affected/impacted you?

5. Tell us about your previous ministry experience/involvement.

Sept 2012 6. If you are currently employed, why are you willing to leave? If not currently employed, why did you leave your last employer?

7. List five words or phrases that best describe you.

8. What has been the most important/valuable correction/criticism you have received?

9. Within the workplace, what has been the greatest compliment you have been given?

10. Describe your work ethic.

11. Describe your philosophy of ministry, specifically with regard to recovery.

12. In your opinion, what do you think is crucial to exist within a recovery program/ministry?

13. Please rate yourself in the following areas on a scale of 1-10, 1 being lowest, 10 being highest. Verbal Skills Organization ______Written Skills Reliability ______Attendance Judgment ______Inter-personal Skills Time Management ______Problem Solving Spiritual Maturity ______Attitude Computer Skills ______Solution Oriented Team Player ______

Sept 2012 For Mel Trotter Ministries Use Only

APPLICATION RECEIVED BY: ______DATE: ______

ROUTED TO: ______DATE: ______POSITION: ______

HIRED? YES ___ NO ___ POSITION: ______START DATE: ______

COMMENTS:

Sept 2012