Substitute Application - Lake Country Christian School

LCCS Substitute Employment 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. This application must be completed in full.

Personal Information(Required)

First Name Middle Name Last Name

Previous Names Used

Maiden/Different last name(s) used, or indicate N/A if you have no other names

Are you a U.S. citizen or national, permanent resident, temporary resident, legalization applicant, or refugee?

Yes

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.

Position for which you are applying:

Position

Date Available

Annual Salary Desired

How did you hear about the position?

If referral, who referred you to us?

Current Address

Street Address Address Line 2 City State Zip

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(Required)

Date of Birth

Social Security #

Driver License #

State Issued

Gender

*NOTE: The above information is required for identification purposes only, and is in no manner used as qualification for employment.

Are you currently employed?

Yes

If so, may we contact your present employer?

Yes

Have you ever applied to LCCS before?

Yes

If so, when?

Are you a former employee or alumni?

Former Employee

Alumni

Both

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

Preferences

Indicate if grades or subjects for which you are degreed/certified:

Special Skills, Accomplishments, and Awards

List any honors, awards, or fellowships you have received, or special qualifications, skills, or accomplishments that may apply to this position. Add additional lines (+) as needed.

Details

Description of Skill, Honor, Award, etc.

Date of Honor, Award, etc.

Employment History - upload/attach resume

Employment Details

Account for all time for the past ten years. Give all employment experience, starting with your present or most recent employer and working back ten years. Include full and part-time work, self-employment, military service, unemployment, and full-time education. Add additional sections (+) as necessary. These employers may be contacted for references.

From MM/YYYY

To MM/YYYY

Employer Name

City/State

Position Held

Contact Name

Contact Phone & Email

Reason for Leaving

Salary info

Last Annual Salary

Number of years of full-time teaching experience:

UPLOAD RESUME

Upload or attach your resume.

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

Professional References

List four (4) people other than your church pastor or family members who know your qualifications and fitness for the position for which you are applying. Please inform them an authorized LCCS staff member may be contacting them.

Full Name of Reference

Telephone Number(s)

Email Address

References

Full Name of Reference

Telephone Number(s)

Email Address

References

Full Name of Reference

Telephone Number(s)

Email Address

References

Full Name of Reference

Telephone Number(s)

Email Address

What days of the week are you available?

Would you consider substituting in an office position?

Are there any grades or subjects you prefer?

Are there any grades or subjects for which you are certified?

Are there any grades/subjects for which you do not want to sub?

Why are you seeking a position in Christian education?

Christian Background

Relationship with the Lord

Profession of Faith

Have you made a profession of faith in Jesus according to Romans 10:9-10?

Yes

Date of Profession of Faith

Do you attend church regularly?(Required)

Yes

Church Info(Required)

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?

Church Info

Church activities you are involved in:

Other Christian service:

Relationship with Christ

Describe how you maintain your personal relationship with Christ:

Statement of Faith and Respect Agreement

Following are the Statement of Faith and a link to the Respect Agreement for Lake Country Christian School. Applicants should read these documents carefully and will be signing in agreement at the end of this application.

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).

Respect Agreement

Copy the URL into your browser to read the Respect Agreement in our student handbook. After you have read the agreement, please acknowledge below.
https://sites.google.com/lccs.org/lccsstudenthandbook/conduct-discipline/lccs-respect-agreement

Did you read the Respect Agreement?(Required)

Yes

Legal History

For any "yes" answers to the following questions, provide a detailed explanation at the end of this section. NOTE: Answering "YES" to these questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness, and nature of the violation, and rehabilitation will be taken into account. (Do not include traffic citations and arrests or convictions which have been sealed or expunged.)

Have you ever plead guilty, or no contest to, or been convicted of any misdemeanor or felony?

Yes

Have you been arrested for any matters for which you are out on bail on your own recognizance pending trial?

Yes

Have you ever been charged with a sexual offense, offense relating to children, or crime of violence?

Yes

Do you have any disciplinary action or investigation pending by an employer, other organization, professional association, or licensing body, for violence, sexual misconduct, or misconduct involving children?

Yes

Have you been discharged or requested to resign because you were convicted of fraud, wrongful taking of property, violating federal, state, or local laws, statutes, regulations, rules, or established standards of conduct?

Yes

Provide a detailed explanation for any "YES" answers in the above section.

Applicant Signature, Certification, and Release of Information

Certification of Information

Read the following carefully before you sign.
•As a potential teacher/staff member, I have read the LCCS Statement of Faith and Respect Agreement, and agree to be guided by these statements while employed at Lake Country Christian School.
• 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 understand that none of the documents, policies, procedures, actions, statements of LCCS or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of the school except the Head of School or his/her delegate has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the Head of School or his/her delegate.
• I understand that if offered a position with LCCS, I may be required to submit to a pre-employment medical examination, drug screening, and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.
• I certify that, to the best of my knowledge and belief, all of my statements are true, correct, complete, and made in good faith.

I have read and accept these terms.

Authorization to Release Information

I hereby authorize any investigator or duly accredited representative of Lake Country Christian School (LCCS) bearing this release to obtain any information from schools, residential management agents, employers, criminal justice agencies, or individuals, relating to my activities. This information may include, but is not limited to, academic, residential, achievement, performance, attendance, personal history, disciplinary, arrest, and conviction records. I hereby direct you to release such information upon the request of the bearer. I understand that the information released is for official use by LCCS and may be disclosed to such third parties as necessary in the fulfillment of official responsibilities.

I hereby release any individual, including record custodians, from any and all liability for damages of whatever kind or nature, which may at any time result to me on account of compliance, or any attempts to comply, with this authorization.

I agree to the release.

Certification

Applicant's Name (Print)

Applicant's Signature or Electronic Signature

Date

Background 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.

Release

I 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 Signature

Date