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Application
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Employment Application |
The Adventist Media Center (AMC) of Seventh-day Adventists is a non-profit religious corporation which includes radio, television, and internet media ministries and a full production crew and their support services. As an institution of the North American Division (NAD) of Seventh-day Adventists, the employment practices of the Adventist Church reflect religious preferences in harmony with the United States Constitution and controlling laws. Therefore, the AMC hires only Seventh-day Adventist Church members. However, the AMC does comply with all other federal and state employment laws and does not discriminate with regard to race, color, gender, national origin, ancestry, age, height, weight, marital status, prior military service, veteran status, or physical handicap or disabiity that does not prohibit performance of essential job functions. This is reflected in the AMC practices and policies regarding hiring, layoff, discharge, training, promotions, rates of pay, and other forms of compensation.
| Personal Information |
Please Print and completely fill out application before submitting:
Name_________________________________________________________________
Address (Street, City, State, Zip Code, Country) ________________________________________________________
HomePhone __________________________________ Cell Phone (or other) ____________________________
Email Address _______________________________________________
Position applied for ______________________________ Department _________________________________
Are you seeking/available for: Full-time _____________ Part-time _____________ Temporary ______________
Date Available for Work ______________________________________________
Are you able to perform the duties of the position for which you have applied with or without accommodations?
Yes _____ No ______ What accomodations would you need? ___________________________________
Do you have the legal right to work for the AMC? Yes _____ No _____
(Note: appropriate work authorization will be required upon offer and acceptance of employment.)
Do you meet the minimum age requirement? Yes _____ No _____
Have you previously been employed by the AMC? Yes _____ No _____ Dates _________________________
Have you previously been denominationally employed? Yes _____ No _____
If "Yes," where? ______________________________________________________________________
Do you have relatives employed by the AMC? Yes _____ No _____
If "Yes," where? ______________________________________________________________________
Have you ever been convicted of or do you currently have pending a felony or misdemeanor charge, the record of which has not been expunged, other than a minor traffic offense? Yes _____ No _____
If "Yes," explain:______________________________________________________________________
The AMC requies its employees to be members of the Seventh-day Adventist Church. Please indicate current:
________________________________________ _______________________________________
Church Membership Church Address
________________________________________ _______________________________________
Pastor's Name Telephone Number
| Educational Information |
| Name of School |
Location | Did you Graduate? | If "No," years completed | Degree & Major | |
| High School |
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| Trade or Business School | |||||
| College |
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| Graduate Work |
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| Other |
| Employment Record |
| Employer: |
JobTitle: |
Status: F/T _____ P/T_____ Temp _____ |
| Address: |
Duties: |
Skills: |
| Telephone: |
Supervisor's Name: |
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| Dates Employed: _______ to _______ |
Base Salary or Wage: Start $________ End $________ |
Reason for Leaving: |
| Employer: |
JobTitle: |
Status: F/T _____ P/T_____ Temp _____ |
| Address: |
Duties: |
Skills: |
| Telephone: |
Supervisor's Name: |
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| Dates Employed: _______ to _______ |
Base Salary or Wage: Start $________ End $________ |
Reason for Leaving: |
| Employer: |
JobTitle: |
Status: F/T _____ P/T_____ Temp _____ |
| Address: |
Duties: |
Skills: |
| Telephone: |
Supervisor's Name: |
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| Dates Employed: _______ to _______ |
Base Salary or Wage: Start $________ End $________ |
Reason for Leaving: |
| Certification & Acknowledgment |
I hereby certify that this application was completed by me and that all entries on it and information on it are true and complete to the best of my knowledge. I understand that false or misleading information in this application, in my interview(s), or otherwise in this application process will void this application or subject me to discharge a any time if I am employed.
I expressly acknowledge and understand that in the absence of a written contact to the contrary, my status, if I am hired, will be that of an at-will employee having no contractual right, express or implied, to remain in the AMC employ. In this connection, I expressly acknowledge further that neither anything said to me during the application and/or interview process or during employment nor any provision in the Employee Handbook constitutes the terms of a implied employment agreement. In consideration of any employment offered, I specifically agree that my employment may be terminated, with or without cause or notice, at any time, at the option of either the AMC or myself. I understand that no unauthorized representative may enter into any agreement for employment or make any agreement contrary to the forgoing.
_____________________________________________________ _______________________________
Applicant's Signature Date
I expressly agree that my prior employer(s) and current employer may be contacted for the purpose of investigating my background, and I understand that information regarding my prior and current employment(s) may be used by the AMC in considering this application. I also hereby permit my present and prior employer(s) to disclose to the AMC information in their possession or subject to their control, including information contained in my personnel file(s). I this regard, I expressly release the AMC from any all liability if whatever kind and nature which, at any time, may result from obtaining and making an employmnt decision based upon the requested information.
____________________________________________________ ________________________________
Applicant's Signature Date
Please fax (805-955-7708) or send completed application to:
Human Resources Department, Adventist Media Center, 101 North Cochran, Simi Valley, CA 93065.
I expressly acknowledge and understand that in the absence of a written contact to the contrary, my status, if I am hired, will be that of an at-will employee having no contractual right, express or implied, to remain in the AMC employ. In this connection, I expressly acknowledge further that neither anything said to me during the application and/or interview process or during employment nor any provision in the Employee Handbook constitutes the terms of a implied employment agreement. In consideration of any employment offered, I specifically agree that my employment may be terminated, with or without cause or notice, at any time, at the option of either the AMC or myself. I understand that no unauthorized representative may enter into any agreement for employment or make any agreement contrary to the forgoing.
_____________________________________________________ _______________________________
Applicant's Signature Date
I expressly agree that my prior employer(s) and current employer may be contacted for the purpose of investigating my background, and I understand that information regarding my prior and current employment(s) may be used by the AMC in considering this application. I also hereby permit my present and prior employer(s) to disclose to the AMC information in their possession or subject to their control, including information contained in my personnel file(s). I this regard, I expressly release the AMC from any all liability if whatever kind and nature which, at any time, may result from obtaining and making an employmnt decision based upon the requested information.
____________________________________________________ ________________________________
Applicant's Signature Date
Please fax (805-955-7708) or send completed application to:
Human Resources Department, Adventist Media Center, 101 North Cochran, Simi Valley, CA 93065.


