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Lake Country Christian School
7050 Lake Country Drive
Fort Worth, TX 76179
 
817-236-8703 Main Office
817-751-7570 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?
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
Previous Names Used
Current Address
Address History
If less than five (5) years at current address, provide previous address(es).
From MM/YYYY
To MM/YYYY
Street
City
State
Zip
 
Contact Info
Email Address
Cell Phone
Home Phone
 
Personal Info
Date of Birth
Social Security #
Driver License #
State Issued
 
*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?
If so, when?
If so, when?
 
Are you a former employee or alumni?
Are you a former employee or alumni?
Education
High School and Post-High School Details (one entry per line, add additional lines (+) if needed)
High School, College, or University
City, State
Dates Attended From-To:
Type of Degree (HS Diploma, B.A., M.A. etc.)
Year of Degree
 
Church Info
List 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 Affiliation
Church Address
Length of Time Attended
Are you a member?
 
Certification
Applicant's Name (Print)
Applicant's Signature or Electronic Signature
Date
 
Background Investigation Consent and Release(Required)
Applicant's Complete Legal Name (Print)
Applicant's Signature or Electronic Signature
Date