Employment Application

Today's Date
MM slash DD slash YYYY
First Name*
First
Middle Name*
Middle
Last Name*
Last
Position Applying For:*
How did you hear about this job?*
Select One:
- Full-Time
- Part-Time
- Temporary
Boise Rescue Mission Ministries maintains a smoke-free workplace. The hiring process may require each applicant to undergo drug & alcohol screening and a background check. Please make sure all portions of this application are completed. You are welcome to include a resume. This application will be maintained on active status for a period of thirty days.*
- I acknowledge and agree to the above
Personal Information
Current Address*
Street Address Address Line 2 City State ZIP Code
Period of Residence*
Phone*
Email
Previous Address
Street Address Address Line 2 City State ZIP Code
Period of Residence
Available to Work:*
MM slash DD slash YYYY
Have you worked with BRMM before?*

If yes, please let us know the dates you were employed.
If working shift work, are you available during all shifts?

If no, please explain.
Names of Friends or Relatives who work with BRMM:
Emergency Contacts
Contact #1*
First Last Relationship
Contact #1 Phone Number*
Contact #2
First Last Relationship
Contact #2 Phone Number
Personal References
Please list three individuals who have knowledge of your personal abilities & character (Not former employers or relatives).
Reference #1*

Please include Name, Address, Phone, Email, and Years Known
Reference #2*

Please include Name, Address, Phone, Email, and Years Known
Reference #3*

Please include Name, Address, Phone, Email, and Years Known
Please list other names by which you are known to these personal and employment references:
Employment History
List all of your employers from the past 10 years beginning with the most recent or present.
List of Employers*
Dates Business Name and Address Nature of Business Position Held
Does your Present Employer know are considering leaving?*
- Yes
- No
Are there any previous employers who might not rehire you?*
- Yes
- No
If yes, please explain.

If yes, please explain.
Health
Can you perform the essential functions of the job for which you are applying, with or without reasonable accommodation?*
- Yes
- No
If no, please explain.

If no, please explain.
Education
High School

Please include Name, Location, Yrs. Completed, Graduation Date, and Subjects Studied
College / University

Please include Name, Location, Yrs. Completed, Graduation Date, and Subjects Studied
Trade / Business / Correspondence

Please include Name, Location, Yrs. Completed, Graduation Date, and Subjects Studied
Summarize Skills & Qualifications Acquired From Education, Employment or Other Experiences:
U.S. Military Record
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Branch / Rank Upon Discharge
Employment Status
Are you legally able to work in the United States?*
- Yes
- No
If no, please explain.

If no, please explain.
PLEASE NOTE THAT AS REQUIRED BY THE IMMIGRATION REFORM AND CONTROL ACT OF 1986, BRMM CANNOT EMPLOY YOU UNLESS YOU CAN PRODUCE WORK AUTHORIZATION AND IDENTITY DOCUMENTS AS SPECIFIED BY THE LAW. YOU SHOULD DISCUSS THIS WITH YOUR PERSONNEL DEPT. REPRESENTATIVE IMMEDIATELY.
Criminal Record
Have you ever been convicted of an offense against civil or military law, or been released from a prison or other detention facility? Omit: (1.) Traffic violations with a fine under $100, except where liquor or drugs were involved and (2.) Any offense committed before your 18th birthday, which was finally adjudicated in a juvenile court or under a youth offender law. A conviction record will not necessarily bar you from employment.*
- Yes
- No
If Yes, Please indicate the nature of the offense, date, court and deposition:
Statement of Faith
Boise Rescue Mission Ministries
1. We believe the Bible to be the only inspired, infallible, authoritative Word of God. 2. We believe that there is one God, eternally existent in three persons: Father, Son and Holy Spirit. 3. We believe in the Deity of our Lord Jesus Christ, in His virgin birth in His sinless life, in His miracles, in His vicarious and atoning death, through His shed blood, and His bodily resurrection, and in His personal return in power and glory. 4. We believe in the salvation of lost and sinful men and regeneration by the Holy Spirit is absolutely essential for salvation. 5. We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a Godly life. 6. We believe in the bodily resurrection of the just and unjust, the everlasting blessedness of the saved and the everlasting, conscious punishment of the lost. 7. We believe in the spiritual unity of believers in Christ.
Do you agree without reservation to the above statement of faith?*
- Yes
- No
If no, please indicate with which statement you disagree and why.

If no, please indicate with which statement you disagree and why.
As BRMM is an interdenominational Christian organization, would you be willing to work and cooperate with other Christians whose doctrine may differ from your own?*
- Yes
- No
Have you accepted Jesus Christ as your Lord and Savior?*
- Yes
- No
Please describe your relationship with Jesus.*
Your Church of membership / preference:*
Pastor:
Address and Phone Number:
Agreement
Please read the following statement carefully. This section must not be altered.
I hereby affirm that the information provided on this BRMM application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal at a later date. I understand that my employment can be terminated, with or without cause, at any time at the discretion of either the mission or myself. I understand that no management official, other than the executive director, has authority to enter into any agreement contrary to the foregoing or make any oral assurance or promise of continued employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations named in this application (and accompanying resume, if any) to provide any relevant information that may be required to arrive at an employment decision. I release all parties from liability for any damages that may result from furnishing same to BRMM.
Signature of Applicant*
Date*
MM slash DD slash YYYY
Resume Upload (optional)
Max. file size: 50 MB.
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Dates	Business Name and Address	Nature of Business	Position Held

Employment Application

Personal Information

Emergency Contacts

Personal References

Employment History

Health

Education

U.S. Military Record

Employment Status

Criminal Record

Statement of Faith

Agreement