Employment Application Name * First Name Last Name Date * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Date Available MM DD YYYY Desired Salary * Position Applied For * Education High School & Address * Dates Attended * Did you Graduate? * Yes No College & Address * Dates Attended * Did you Graduate? * Yes No Degree * Other Education Dates Attended Did you Graduate? Yes No Degree References List three professional references Reference * Full Name, Relationship, Company, Phone, Address Reference * Full Name, Relationship, Company, Phone, Address Reference * Full Name, Relationship, Company, Phone, Address Previous Employment Company * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Job Title * Starting/Ending Salary * Responsibilities * Dates Employed * Reason for Leaving * May we contact your previous employer for reference? * Yes No Previous Employment 2 Company * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Job Title * Starting/Ending Salary * Responsibilities * Dates Employed * Reason for Leaving * May we contact your previous employer for reference? * Yes No Previous Employment 3 Company * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Job Title * Starting/Ending Salary * Responsibilities * Dates Employed * Reason for Leaving * May we contact your previous employer for reference? * Yes No Licensure Do you hold an ACSI certification? * Do you hold or anticipate an Alabama license? * Yes No What grades or subjects are you certified to teach? * What grade or subjects do you prefer? * Please list any other endorsements and/or verifications documented on your license(s) Are you a certified coach? * Yes No What clubs or sports would you like to coach? Christian Background Briefly describe your Christian testimony. * Local Church Affiliation * Are you presently a member in good standing? Number of years at this church? * List the church activities in which you regularly participate and the extent of your involvement. * List other ministry opportunities you have had. * Describe your routine of personal Bible study and prayer. * What books have you read recently that have helped you grow spiritually? * Additional Information If you have any social media accounts, please include the url for the following: Facebook, Instagram, Etc. How did you learn about the position at LLCA? * List any additional information which will help in determining your professional qualifications for a position. * Legal Information Please note: Applicants are not obligated to disclose sealed or expunged records. Are you eligible to work in the United States? * Yes No Have you ever been charged of a criminal offense other than a minor traffic violation? * If yes, explain, giving dates: A Criminal Background Check is required to be employed by LLCA. * Acknowledge Applicant’s Certification and Agreement * I understand that Lindsay Lane Christian Academy does not discriminate in its employment practices against any person because of sex, race, color or ethnic origin, or handicap. Employment is contingent on support of the school’s mission and adherence to the code of conduct and lifestyle statement. I further understand that any employment is conditioned on the proof of legal authority to work in the U.S., criminal and other background checks. I hereby certify that the facts set forth in this initial application are true and complete to the best of my knowledge. I understand that discovery of falsification of any statement or significant omission of fact during any phase of the hiring process may prevent me from being hired or if hired may subject me to immediate dismissal. I authorize Lindsay Lane Christian Academy to inquire about my work, personal, criminal, and credit history and to verify all data given in my application for employment, related papers, and my oral interviews. I authorize the release of any information requested by Lindsay Lane Christian Academy such as employment records, performance reviews, criminal and credit history, and personal references. I release any person, organization, or company from liability or damage which may result from furnishing the information requested. I further waive the right to ever view any references given to Lindsay Lane Christian Academy. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Acknowledge Electronic Signature * Thank you!
