Job Application

First Name *

Last Name *

Street Address *

Apt. #

City *

State or Province *

Postal Code *

Phone Number *

Mobile Phone

Email *

Work Experience

Complete this section if this information is not included in your resume. Please start with the present or most recent employer(s).

Employer 1

Employer

Job Title

City

State or Province

Start Date

Year

Month

Day

End Date

Year

Month

Day

Employer 2

Employer

Job Title

City

State or Province

Start Date

Year

Month

Day

End Date

Year

Month

Day

How did you hear about us? *

How did you hear about us? Other...

Mount Olivet Lutheran Church (MOLC), Mount Olivet Home (MOH), Mount Olivet Careview Home (MOCH) and Mount Olivet Day Services (MODS) are equal opportunity employers and will not discriminate against any applicant or employee on any grounds protected under the federal, state, or local law, including race, color, creed, religion, age, sex, sexual orientation, sexual harassment, national origin, ancestry, marital status, handicap, disability related to pregnancy or child birth, membership or activity in any local commission, status regarding public assistance, membership or non-membership in any labor organization, or any other characteristics, nor imply any limitation, illegal preferences, or discrimination based upon non-job-related information or protected characteristics.

If you are hired by MOLC • MOH • MOCH • MODS, you will be employed as an at-will employee, meaning you may terminate your employment at any time for any reason with two weeks notice. Similarly, if you are hired, MOLC • MOH • MOCH • MODS will have the right to terminate your employment at any time, for any reason, without prior notice. No MOLC • MOH • MOCH • MODS supervisor or manager has the authority to offer or promise anything other than at-will employment.

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I understand and agree that:

Any material misrepresentation or deliberate omission of a fact in my application may be justification for refusal of, or if employed, termination from, employment.
By signing this application, I authorize MOLC • MOH • MOCH • MODS to obtain and authorize all state, federal, or local law enforcement agencies or officials to release any and all information they have regarding any criminal convictions I may have, regardless of the date, location, or nature of the conviction. I understand that criminal conviction(s) will not automatically disqualify me from eligibility for employment with MOLC • MOH • MOCH • MODS.
I agree that my employment may be terminated by MOLC • MOH • MOCH • MODS at any time without liability for wages or salary except such as may have been earned by the date of such termination. If requested by the management at any time, I agree to submit to search of my person or of any locker that may be assigned to me, and I hereby waive all claims for damages on account of such an examination. I authorize any physicians or hospitals to release any information that may be necessary to determine my ability to perform the duties of a job I am being considered for prior to employment or in the future during my employment with MOLC • MOH • MOCH • MODS. I consent to take a medical examination by a qualified physician at the discretion of my employer.
Although the management makes every effort to accommodate individual preferences, business needs may at times make the following conditions mandatory: overtime, shift work, a rotating work schedule, or a work schedule other than Monday through Friday. I understand and accept these conditions of my continuing employment.
I understand that this is an application for employment and that no employment contract is being offered.
I acknowledge that: if I become employed, I will be free to terminate my employment at any time for any reason and MOLC • MOH • MOCH • MODS retain the same rights; these same organizations can change wages, benefits and conditions at any time; no representative of MOLC • MOH • MOCH • MODS has the authority to make any contrary agreement.
I understand that I am required to abide by all rules and regulations of the particular Mount Olivet organization that employs me.

I have read and understand the above Applicant's Statement. *

I have read and understand the above Applicant's Statement.

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