Pathway’s 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  Church Supplies  Gifts  Music  Videos  Kids’ Area
How often do you read Christian books?
 Rarely  Occasionally, but Regularly  Constantly
How often do you listen to Christian music?
 Rarely  Occasionally, but Regularly  Constantly
How often do you watch Christian movies?
 Rarely  Occasionally, but Regularly  Constantly
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) Social Security No.

Present Address City State Zip Code

Permanent Address City State Zip Code

Home Phone No. Cell Phone No. Email

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

High School

College

Trade School

Employment History
Employer Salary/Hourly Rate Dates Employed
Start: Finish: From: To:
Address City State Zip Code

Position Held Immediate Supervisor Phone Number

( )
Duties Reason for Leaving

Employer Salary/Hourly Rate Dates Employed

Start: Finish: From: To:
Address City State Zip Code

Position Held Immediate Supervisor Phone Number

( )
Duties Reason for Leaving

Employer Salary/Hourly Rate Dates Employed

Start: Finish: From: To:
Address City State Zip Code

Position Held Immediate Supervisor Phone Number

( )
Duties Reason for Leaving

Have you ever been disciplined or fired? If yes, why? □ 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 (Give below the names of three persons not related to you, whom you have known at least one year.)
Name Phone No. Relation Yrs. Known

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

Name Describe Involvement Yrs. Involved

Availability
Monday Tuesday Wednesday Thursday Friday Saturday

General Qualifactions
What skills do you have? Typing Speed

Office Machines You Can Operate Previous Work With Public

Types of Sales Experience

Types of Bookkeeping Experience

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 6
2 7
3 8
4 9
5 10

Music Department
List up to 10 Christian artists you like to listen to:
1 6
2 7
3 8
4 9
5 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? □ Yes □ No
If yes, explain:

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