Pathways Employment Survey (Optional)

Date _______________

Name _______________________________________ Phone_________________________ How did you hear about our store? ______________________________________________ Which church do you attend? ___________________________________________________ Do you smoke? _____________ Do you have an alcohol or drug problem? ______________ Are you a high school graduate? ____________ How much college? ___________________ How many hours a week would you like to work? __________________________________ What time of day would you prefer working? ______________________________________ Are you willing and able to work evenings? _______________Saturdays?_______________ Do you have experience with computers? Please explain: ____________________________ ___________________________________________________________________________ Can you type without looking at the keyboard? _____________________________________ When shopping in our store, which department do you visit most often? Books/Bibles Rarely Rarely Rarely Church Supplies Gifts Music Videos Kids Area Constantly Constantly Constantly

How often do you read Christian books? Occasionally, but Regularly Occasionally, but Regularly Occasionally, but Regularly

How often do you listen to Christian music?

How often do you watch Christian movies?

What do you think are the most important personality traits for our employees? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Do you possess the above qualities? _____________________________________________ Using Bullet points or outline form please share with me, why you believe that you are more qualified for the position I have posted over everybody else that will be applying?

Pathway Christian Books & Gifts

Application for Employment
Personal Information
Name (last name first) Present Address Permanent Address Home Phone No. Cell Phone No. Email Social Security No. City City State State Zip Code Zip Code

Education History
Name & Location of School Dates Attended Did You Graduate? Subject(s) Studied

High School College Trade School Employment History

Employer Address Position Held Duties Employer Address Position Held Duties Employer Address Position Held Duties Have you ever been disciplined or fired? If yes, why? Salary/Hourly Rate Start: City Immediate Supervisor Finish: State Phone Number Dates Employed From: Zip Code To:

Reason for Leaving Salary/Hourly Rate Start: City Immediate Supervisor Finish: State Phone Number Dates Employed From: Zip Code To:

Reason for Leaving Salary/Hourly Rate Start: City Immediate Supervisor Finish: State Phone Number Dates Employed From: Zip Code To:

Reason for Leaving

Yes

No

Is there any reason known to you why you might be unable to perform consistently and promptly any of the job duties? If yes, why?

Yes

No

Is there anything that would prevent you from getting to work on time? If yes, what?

Yes

No

Can we call your current employer?

Yes

No

Pathway Christian Books & Gifts

Application for Employment
Personal References
Name (Give below the names of three persons not related to you, whom you have known at least one year.) Phone No. Relation Yrs. Known

Community Involvement
Name

(e.g. volunteer organization, club, church, etc) Describe Involvement

Yrs. Involved

Availability
Monday Tuesday Wednesday Thursday Friday Saturday

General Qualifactions
What skills do you have? Office Machines You Can Operate Types of Sales Experience Types of Bookkeeping Experience Previous Work With Public Typing Speed

Computer Proficiency (list areas where knowledgeable and years of experience)

1 2 3 4 5 6

Book Department
List up to 10 Christian books or authors you like or have read: 1 2 3 4 5 6 7 8 9 10

Music Department
List up to 10 Christian artists you like to listen to: 1 2 3 4 5 6 7 8 9 10

Pathway Christian Books & Gifts

Application for Employment
Gift Department
What collectables are you familiar with? Have you ever serviced greeting card racks? If yes, which card company?

Yes

No

Additional Information

(List any additional information that you believe is relevant for this position.)

Background Information
Have you ever been convicted of a felony? If yes, explain:

Yes

No

Citizenship
Are you a U.S. Citizen or are you legally authorized to work in the U.S.?

Yes

No

Certification
I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to authorized employees of The Pathway Christian Books and Gifts or its contracted agents. This consent shall continue to be effective during my employment if I am hired. I certify that to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith. Signature: Date:

415 S Saginaw Rd Midland, MI 48640 888-317-6480 pathway.christian@gmail.com