Today's Date *

MM

DD

YYYY

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Best Phone Number *

(###)

###

####

Gender *

Male

Female

Marital Status *

Single

Married

Widowed

Divorced

Remarried

Have you received Jesus Christ as your personal Lord and Savior? *

Yes

No

Have you or a family member served with TNL or NYGO before? *

Yes

No

Are you legally employable under the US Immigration Laws? *

Proof of citizenship or immigrant status will be required upon employment.

Yes

No

Have you ever been arrested and convicted or a felony or a misdemeanor? *

Yes

No

Do you have a driver's license? *

Yes

No

Have you ever had your driving privileges suspended or revoked? *

Yes

No

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you agree with the following :: *

We believe the Bible to be the inspired, the only infallible authoritative Word of God. We believe that there is one God, eternally existent in three persons...Father, Son, and Holy Spirit. 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, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory. We believe that for the salvation of lost and sinful man regeneration by the Holy Spirit is absolutely essential. We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life. We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation. We believe in the spiritual unity of believers in our Lord Jesus Christ.

Yes

No

I have read and do agree with the Statement of Faith. *

Yes

I understand that this application form is intended for use in evaluating my qualifications for employment. This is not an employment contract. I have answered all appropriate questions completely and accurately. I understand that any false statements, misrepresentations, or omissions made during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. *

Yes

If I am offered employment, I will, as a condition of employment, be required to submit proof of my identity and legal right to work in the US. *

Yes

I understand that, if I am offered a position, it will be offered on condition that my employment shall be at will and for no definite period pursuant of NYGO Code of Conduct. I understand and agree that upon breach of this Code of Conduct by myself, that NYGO may terminate my employment at any time, with or without cause, and with or without notice, at the option of NYGO. *

Yes

I authorize NYGO and/or it's agents, including consumer-reporting bureaus, to verify any of this information concerning my background, except as noted in this application, and hereby release any said persons, schools, companies, and law enforcement authorities from any liability for any damages whatsoever for issuing this information. *

Yes

In the event of employment, I agree to abide by all present and subsequently issued traditions and rules of NYGO. *

Yes

I authorize NYGO to use any photograph(s) of me in letters, brochures, newsletters and similar publications. I understand the purpose of such publications is for public relations and/or fundraising for various services and ministries that NYGO conducts in order to help the inner city people of New York. I also waive my right to payment of fees and will not hold NYGO liable concerning the use of such photograph(s). *

Yes

Date you can start work :: *

MM

DD

YYYY

Date you must end work ::

for summer and part-time employees only

MM

DD

YYYY