Employment Application Step 1 – Phoenix Dream Center

Employment Application

CONFIDENTIAL INFORMATION

Step 1 of 3

Once you enter your information, this application will be considered confidential and may be reviewed only by the Phoenix Dream Center Executive Team, the board, or persons or committees authorized by the Executive Director having authority to make personnel decisions. Persons, who review, duplicate, distribute, or disclose any portion of this document without authorization, face one or more of the following consequences: (1) possible criminal liability, (2) possible civil liability, (3) possible termination of employment, if an employee, and (4) possible dismissal from any official volutneer, contractor or employee positions within the PDC.

I consent to background checks using the information I provide *

First Name *

Middle Name

Last Name *

Previous Names Used

Position You Are Applying For *

Have you ever been arrested or investigated for harming another *

Phone *

Email *

Street Address 1 *

Street Address 2

City *

State *

Postal Code *

Your Home Church

Reference 1 Name *

Reference 1 Phone Number *

Reference 1 Relationship To You *

Reference 2 Name *

Reference 2 Phone *

Reference 2 Relationship To You *

Reference 3 Name *

Reference 3 Phone *

Reference 3 Relationship To You *

Highest Grade Completed *

List Degrees and Schools *

Previous/Current Employer *

Previous/Current Employer Phone *

Previous/Current Employer Supervisor *

Previous/Current Employer Salary *

Previous Employer

Previous Employer Phone

Previous Employer Supervisor

Previous Employer Salary

Please tell us a little about yourself. *