CCS Applications Non-Teacher Application | Page 3

3 . Position ________________________________ Date of Employment _______________ Address _________________________________________________________________ _______________________________________________________________________ Supervisor ’ s Name and Phone Number ________________________________________ _______________________________________________________________________ Reason for leaving ________________________________________________________ _______________________________________________________________________
Have you ever worked under a different name for any of the employers you have listed ? If so , what was the name or names ? ____________________________________________________
_____________________________________________________________________________ F . PERSONAL REFERENCES Do not list family members or relatives as references .
Give two references of people who are qualified to speak of your spiritual experience and Christian service . List your current Pastor first . Please include name , position , phone number , and address .
1 . _______________________________________________________________________
_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
2 . _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
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