Job Application

Bethany United Methodist Church

4102 Eisenhauer Rd.

San Antonio, Texas 78218

Position:

Comments regarding ability to fulfill the requirements of this job:

Personal Information:

Name: Date of Birth:

Social Security #: Driver’s License #:

Permanent Mailing Name

Address:

Home Phone:	Cell Phone:

Email Address:

References:

List three references (at least one should be from a current of previous employer).

Name

Address

Phone #

Name

Address

Phone #

Name

Address

Phone #

I have read the duties and responsibilities provided in the job description and can fulfill these requirements except as noted in the comments section above.

Signature: _________________________________________ Date: ___________________________

Email completed application, resume, and background check to : Sherrie Boyer @ sherboyer@sbcglobal.net

Link to background check form from the Methodist conference: http://www.umcswtx.org/download/01-BC Consent Fm with BACK PG INFO.pdf