Lake Country Christian School7050 Lake Country DriveFort Worth, TX 76179 817-236-8703 Main Office817-751-7570 Fax SOA/Vendor Agreement (Includes information for Background Check and LCCS Statement of Faith agreements for specific instructors/vendors, or if needed as separate attachment to application.)Lake Country Christian School is an equal opportunity employer. All employment decisions will be made without regard to race, color, sex, national origin, age, disability, or veteran status. However, within its legal capacity as a nonprofit religious education institution with a curriculum directed toward the propagation of evangelical, born-again Christianity, Lake Country Christian School reserves the right to carefully and fully explore the religious values, faith, and convictions (including personal conduct) of all applicants and employees to employ those individuals who support, advance, and live in a manner consistent with Lake Country Christian School’s Statement of Faith. Are you a U.S. citizen or national, permanent resident, temporary resident, legalization applicant, or refugee? Yes No The Immigration Reform and Control Act of 1986 prohibits the employment of unauthorized aliens, and requires employers to verify the employment eligibility of all new employees. An offer of employment made by Lake Country Christian School will be conditioned upon your providing the documentation required by law as evidence of your personal identity and your authorization to work in the United States. Any offer of employment is also conditional upon the successful completion of a background investigation. Temporary residence does not include those with non-immigrant work authorization (F, J, or L visas). A legalization applicant is one who is eligible and who has made a naturalization application within the regulatory time requirements of the INS. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Personal Information First Name Middle Last Name Previous Names Used Maiden/Different last name(s) used, or indicate N/A if you have no other names Current Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Address HistoryIf less than five (5) years at current address, provide previous address(es).From MM/YYYYTo MM/YYYYStreetCityStateZip Add RemoveContact InfoEmail AddressCell PhoneHome Phone Add RemovePersonal InfoDate of BirthSocial Security #Driver License #State Issued Add Remove*NOTE: The above information is required for identification purposes only, and is in no manner used as qualification for employment. Have you ever applied to LCCS before?Have you ever applied to LCCS before? Yes No If so, when?If so, when? Add RemoveAre you a former employee or alumni?Are you a former employee or alumni? Former Employee Alumni Both EducationHigh School and Post-High School Details (one entry per line, add additional lines (+) if needed)High School, College, or UniversityCity, StateDates Attended From-To:Type of Degree (HS Diploma, B.A., M.A. etc.)Year of Degree Add RemoveChurch InfoList current church first. If attending less than 10 years list previous church affiliation, if applicable.If yes, Name of the local church you attend.Denomination or AffiliationChurch AddressLength of Time AttendedAre you a member? Add RemoveFollowing is the Statement of Faith for Lake Country Christian School. Applicants should read the document carefully and will be signing in agreement.Statement of Faith We believe the Bible is the inspired, only infallible and authoritative written Word of God. We believe there is one God manifested in three persons: the Father, the Son and Holy Spirit. We believe in the reality of Satan and that his present control over unregenerate man does exist. We believe in the deity of our Lord Jesus Christ, His virgin birth, His sinless life, His miracles, His vicarious and atoning death on the cross, His bodily resurrection and ascension to the right hand of the Father, and His personal return in power and glory. We believe in the resurrection of believers into everlasting life and unbelievers into the everlasting punishment of hell. We believe in the present supernatural ministry of the Holy Spirit by whose indwelling enables the Christian to live a Godly life. We believe that the ministry of the Holy Spirit enables the Christian to live a godly life and the ministry, the infilling, and the manifestations of the Holy Spirit are available to every believer. The school is open to the fullness of God’s power in its programs and policies. We believe that the Bible, which is comprised of all 66 books from Genesis to Revelation, is God’s full and complete written revelation to man, given to us by the Holy Spirit. We believe that the Bible is inspired in every word, is inerrant, infallible, and is God-breathed. In its completeness, it is in need of no additions or supplements. (John 16:12-15; 1 Cor 2:7-14; 2 Pet 1:20-21) We believe that marriage is only between one man and one woman. God’s Word is clear that the two, meaning one man and one woman, become one flesh in marriage. (Gen 2:24; Matt 19:6; Mark 10:8) The school believes in the spiritual unity of the Body of Believers in our Lord Jesus Christ, no matter to which Bible-believing denomination or church they belong, ever seeking to become “more and more in every way like Christ, who is the head of His Body, the Church” (Ephesians 4:16). Priority will be given to drawing all students to a personal salvation experience with Jesus Christ and to training them to live a selfless life that is pleasing to God, as revealed in His Word (John 12:32; Matthew 5:16). I agree to the LCCS Statement of FaithCertificationApplicant's Name (Print)Applicant's Signature or Electronic SignatureDate Add RemoveBackground Investigation Consent I hereby authorize Lake Country Christian School and/or its agents to make an independent investigation which may include information regarding my background, references, criminal or police records, and Department of Motor Vehicle records, as part of the employment and/or volunteer process. At any time during the tenure of my employment or volunteer service, this report may be compiled by any source required to verify information that I have voluntarily supplied. I understand that I may request a complete and accurate disclosure of the nature and scope of the background verification, to the extent such an investigation includes information bearing on my character, general reputation, personal characteristics or mode of living. I consent to the background investigation.ReleaseI release Lake Country Christian School and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or lawsuits in regards to the information obtained from any and all of the above references or sources used. Release agreement.Background Investigation Consent and Release(Required)Applicant's Complete Legal Name (Print)Applicant's Signature or Electronic SignatureDate Add Remove Δ