Kansas City Rescue Mission
Pre-Employment Forms

Table of Contents

       1. Guiding Principles   
       2. Statement of Belief
       3. Questionnaire for Applicants
       4. KCRM Employment Application Form
       5. Application Form Waiver

	

KCRM’s Guiding Principles

MISSION STATEMENT
The Kansas City Rescue Mission is a Christ-centered community serving among the poor and homeless of Kansas City. We offer hope and the opportunity for reconciliation and transformation through programs of relief, recovery and re-entry, empowering those we serve to reach their full potential.

OUR VISION
People served by KCRM are able to live in community in balanced and interdependent lives with Christ.

ORGANIZATIONAL VALUES

1.	God as our Source
This ministry belongs to God, therefore we trust Him for direction and all the resources necessary to accomplish what He has called us to do.

2.	The Great Commandment and the Great Commission
Our calling compels us to love God above all and to love our neighbors as ourselves. This love reveals itself through absolute surrender to God’s will, and a commitment to communicate the gospel through our lifestyles, our attitudes and our words.

3.	Dignity of the Individual
We are committed to treat others as we would want to be treated, to reflect Jesus in every encounter, to be good listeners, compassionate responders, gracious, fair and godly ministers.

4.	Holistic Approach
KCRM’s ministry addresses the whole person: body, mind and spirit.

5.	Accountabilities for Success
We hold our clients and guests accountable to reach for high but achievable standards of behavior and character.

6.	Integrity and Truthfulness
We are committed to holding ourselves to the highest standard of accountability in character, conduct and conversation before God and others.

7.	Pursuit of Excellence
We are committed to “go the extra mile” and to give attention to the details to provide the highest quality possible in every area within the organization.

STATEMENT OF BELIEF

The spiritual beliefs upon which Kansas City Rescue Mission was founded and that continue to drive it are outlined below. Adherence to these beliefs is common to all KCRM employees.

    We believe:

1.	In one God: Father, Son and Holy Spirit

2.	The Bible is the Word of God, fully inspired by God, and tells us everything we need to know about grace, faith and salvation.

3.	That all persons are separated from God because of sin and that sin impacts our nature as well as our actions.

4.	Jesus Christ died for everyone, and anyone who turns to Him in faith and trusts in Him is forgiven.

5.	Followers of Jesus are called to become Christ-like disciples through the work of the Holy Spirit, empowering them to live and love as Jesus did.

6.	Those who are forgiven and filled with the Spirit receive the gift of assurance of salvation and the hope of eternal life.

7.	Our Lord will return, the dead will be raised, all will be judged righteous or unrighteous and the righteous will reign with God forever.

Questionnaire for Applicants
Kansas City Rescue Mission

Thank you for your interest in Kansas City Rescue Mission and the people we serve. God works miracles here every day- offering freedom and hope to our poorest neighbors, empowering them to reach their full potential.

We trust that God will send the right person with all the skills and experience we need at this time. Please take the time to review this questionnaire. If you remain interested, please complete and return it as soon as possible to the HR Manager at KCRM.

Your Name: _______________________________		Date: _________________________

Phone: ___________________________________ 		Email: _________________________

1. What do the KCRM values tell you about Kansas City Rescue Mission (KCRM)?

2. Please explain why you would like to work for KCRM?

3. We are a Christian ministry. To you, personally, who is Jesus Christ?

4. Tell us about your previous ministry experience/involvement.

5. If you are currently employed, why are you willing to leave? If not currently employed, why did you leave your last employer?

6. List five words or phrases that best describe you.

7. What has been the most important/valuable correction/criticism you have received?

8. Within the workplace, what has been the greatest compliment you have been given?

9. Describe your work ethic. 

10. Please rate yourself in the following areas on a scale of 1-10, 1 being lowest, 10 being highest.

Verbal Sills		_______		Organization		_______
Written Skills 		_______		Reliability		_______
Attendance		_______		Judgment		_______
Inter-personal Skills	_______		Time Management	_______
Problem Solving	_______		Spiritual Maturity	_______
Attitude			_______		Computer Skills	_______

 11. Describe your relationship with Jesus Christ. 
KCRM Employment Application Form

PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE			
APPLICATION FOR EMPLOYMENT	
APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS	
	
PLEASE COMPLETE ALL PAGES 	DATE 		
Name 		
	Last 			First 			Middle 				
Present address 		
			Number			Street		City	State	Zip	
How long 		Social Security No. _______ –  _____  –  _________	
Telephone (      )		
If under 18, please list age 		

Position applied for  (1)	
and salary desired   (2) 	
(Be specific)	Days/hours available to work
No Pref 	 Thur 	
Mon 	  Fri 	
Tue 	  Sat 	
Wed 	  Sun 		
How many hours can you work weekly? 	  Can you work nights? 		
Employment desired	FULL-TIME ONLY	  PART-TIME ONLY	    FULL- OR PART-TIME	
When available for work?	 	

TYPE OF SCHOOL	NAME OF SCHOOL	LOCATION
(Complete mailing address)	NUMBER OF YEARS COMPLETED	MAJOR & DEGREE	
High School					
					
College					
					
Bus. or Trade School					
					
Professional School					

	

PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE		
					
APPLICATION FOR EMPLOYMENT	
	
DO YOU HAVE A DRIVER’S LICENSE?	 Yes	 No	
What is your means of transportation to work? 		
Driver’s license 
number 	 State of issue  _______         Operator      Commercial (CDL)     Chauffeur	
Expiration date 		
Have you had any accidents during the past three years?	How many? 		
Have you had any moving violations during the past three years?	How Many? 		
                                                                      	
	 Yes					 Yes		Word		 Yes
Typing	 No	   _____ WPM		10-key  	 No		Processing	 No	     _____ WPM	
Personal 	 Yes 	PC	 		
Computer	 No	Mac	 			Other 	
Skills 		
	
Please list two character references other than relatives or previous employers.	
Name 		Name 		
Position 		Position 		
Company 		Company 		
Address 		Address 		
						
Telephone  (      )		Telephone  (      )		
	
An application form sometimes makes it difficult for an individual to adequately summarize a complete background.  Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.	

	

	

	

PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE			
APPLICATION FOR EMPLOYMENT	
	MILITARY		
	
HAVE YOU EVER BEEN IN THE ARMED FORCES?		 Yes	 No	
ARE YOU NOW A MEMBER OF THE NATIONAL GUARD?	 Yes	 No	
Specialty 	 Date Entered 	 Discharge Date 		
	
Work Experience	Please list your work experience for the past ten years beginning with your most recent job held.
If you were self-employed, give firm name.  Attach additional sheets if necessary.	
		
Name of employer 
Address	Name of last supervisor	Employment dates	Pay or salary	
City, State, Zip Code
Phone number		From
To	Start
Final	
	Your last job title	
Reason for leaving (be specific)	
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.	

	

Name of employer 
Address	Name of last supervisor	Employment dates	Pay or salary	
City, State, Zip Code
Phone number		From
To	Start
Final	
	Your Last Job Title	
Reason for leaving (be specific)	
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.	

	

PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE			
APPLICATION FOR EMPLOYMENT	
Work experience	Please list your work experience for the past ten years beginning with your most recent job held.
If you were self-employed, give firm name.  Attach additional sheets if necessary.	
		
Name of employer 
Address	Name of last supervisor	Employment dates	Pay or salary	
City, State, Zip Code
Phone number		From
To	Start
Final	
	Your last job title	
Reason for leaving (be specific)	
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.	

	

Name of employer 
Address	Name of last supervisor	Employment dates	Pay or salary	
City, State, Zip Code
Phone number		From
To	Start
Final	
	Your last job title	
Reason for leaving (be specific)	
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.	

	
	
May we contact your present employer?	 Yes	 No	
Did you complete this application yourself?  Yes  No	
Are you able to perform all required duties of the job for which you applied, with or without accommodation?        Yes  No
Note: Certain positions may require that a physical exam be taken upon a conditional offer of employment.  

PLEASE READ CAREFULLY	

APPLICATION FORM WAIVER
	
In exchange for the consideration of my job application by Kansas City Rescue Mission (hereinafter called “the Mission”), I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Mission practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Kansas City Rescue Mission, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the Executive Director of the Mission.  Both the undersigned and Kansas City Rescue Mission may end the employment relationship at any time, without specified notice or reason.  If employed, I understand that the Mission may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.	
I authorize investigation of all statements contained in this application.  I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice.  I hereby give the Mission permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Mission from any liability as a result of such contact.	
I also understand that (1) the Mission has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy.  I further understand that continued employment may be based on the successful passing of job-related physical examinations.	
	
I have read, understand, and fully subscribe to and support the Statement of Faith and Qualifications for Employment of KCRM. Furthermore, I understand that because KCRM is a Christ-centered Mission that my continuing employment with the mission is in part subject to and conditioned upon continually affirming and subscribing to the Statement of Faith and Qualifications for Employment. I understand and agree that all offers of employment are conditioned on the provision of satisfactory proof of an applicant’s identity and legal authority to work in the USA. In consideration of my employment, I agree to conform to the rules and standards of Employer and that my employment and compensation can be terminated AT WILL, with or without cause, and with or without notice, at any time, either at my option or at the option of Employer.            	

Signature of applicant__________________________________________ 
 Date: ___________________ 
	
	Thank you for completing this application form and for your interest in our mission.