This form is for short-term positions for which LCCS might reach out to fill with our current students or recent graduates. Examples of this might include summer projects or special events. LCCS Student Employment ApplicationLake 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. This application must be completed in full. Applicant Name(Required) First Name Middle Name Last Name Position for which you are applying:PositionDate Available Add RemoveOther positions you would consider (if available) Office Help Facilities/Maintenance Technology Other What days of the week are you available? Current Address Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Contact 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. Are you a former employee or alumni?Are you a former employee or alumni? Current LCCS Student LCCS Alumni Other 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: Add RemoveEmergency ContactNameCell Phone Add RemoveApplicant Signature, Certification, and Release of InformationCertification of InformationRead the following carefully before you sign. • I understand that a false statement on any part of this application may be grounds for not hiring me or for terminating my employment after I begin work. I will provide additional information, if requested, or provide verification of any information that I have given on this application. • I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by LCCS that such employment may be terminated by either the school or myself at any time, with or without cause or notice. I have read and accept these terms.CertificationApplicant's Name (Print)Applicant's Signature or Electronic SignatureDate Add Remove Δ
