LCCS Non-Instructional Staff 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. Personal Information(Required) Prefix Mr.Mrs.MissMs.Dr. 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 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. Type of Position Support Staff Administration Position for which you are applying: Date Available Salary Desired How did you hear about the position?Choose OneFriend/FamilyFacebookLinkedInTwitterLCCS WebsiteACSI Job BoardTAPPS Job BoardST Job BoardTPSMEA Job BoardATSSB Job BoardTABC Job BoardIf referral, who referred you to us?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 Info(Required)Date of BirthSocial Security #Driver License #State IssuedGender Add Remove*NOTE: The above information is required for identification purposes only, and is in no manner used as qualification for employment. Are you currently employed?Are you currently employed? Yes No If so, may we contact your present employer?If so, may we contact your present employer? Yes No 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 EducationEducationHigh 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 RemovePreferencesIndicate if grades or subjects for which you are degreed/certified: Add RemoveSpecial Skills, Accomplishments, and AwardsList 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.DetailsDescription of Skill, Honor, Award, etc.Date of Honor, Award, etc. Add RemoveEmployment History - upload/attach resumeEmployment DetailsAccount 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/YYYYTo MM/YYYYEmployer NameCity/StatePosition HeldContact NameContact Phone & EmailReason for Leaving Add RemoveSalary infoLast Annual SalaryNumber of years of full-time teaching experience: Add RemoveUPLOAD RESUMEUpload or attach your resume.Accepted file types: pdf, doc, docx, Max. file size: 100 MB.Professional ReferencesList 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 ReferenceTelephone Number(s)Email Address Add RemoveReferencesFull Name of ReferenceTelephone Number(s)Email Address Add RemoveReferencesFull Name of ReferenceTelephone Number(s)Email Address Add RemoveReferencesFull Name of ReferenceTelephone Number(s)Email Address Add RemoveWhy are you seeking a position in Christian education? This Section for Maintenance Applications OnlyIndicate the amount and level of experience you have in the following areas:Carpentry: Electrical: HVAC: Plumbing: Sheetrock: Other relevant maintenance skills: Christian BackgroundRelationship with the LordProfession of FaithHave you made a profession of faith in Jesus according to Romans 10:9-10? Yes No Date of Profession of Faith Do you attend church regularly?(Required) Yes No 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 AffiliationChurch AddressLength of Time AttendedAre you a member? Add RemoveChurch InfoChurch activities you are involved in:Other Christian service: Add RemoveRelationship with ChristDescribe how you maintain your personal relationship with Christ: Statement of Faith and Respect AgreementFollowing 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). Did you read the Statement of Faith?(Required) Yes No Respect Agreement In order to help the student establish good habits and uphold Biblical standards in regards to lifestyle, LCCS has certain expectations for behavior 24/7/365. LCCS students represent God, their family, and their school AT ALL TIMES. Students are to maintain Christian Biblical standards of respect, courtesy, kindness, morality and honesty. (Exodus 20:1-17, Leviticus 19:11, 1 Corinthians 6:9-11, Hebrews 13:5). We hold our students to a higher standard and expect them to use polite expressions such as “Mr., Mrs., Miss, please and thank you”, etc. Students are to show respect for all adults and peers. (1 Peter 5:5, Hebrews 13:7) Respect is to be given to flag salutes and prayer, whether in an assembly or in a classroom, to honor our Lord and our country. Students must show respect for all school property. Each student is to refrain from profanity, indecent language, gambling, cheating, bullying, sexual immorality (including homosexuality, transgenderism, and viewing & distributing pornography), stealing, the use of any type of tobacco, drugs, alcohol, and from participation in occult, unlawful, violent, or destructive acts. (Exodus 20:14, Leviticus 18:7-23, Leviticus 20:10-21, Deuteronomy 5:18, Matthew 5:27-28 and 19:4-9, Romans 1:26-27, 1 Corinthians 6:9-13, 18-20, 1 Thessalonians 4:3-4, Hebrews 13:4, Galatians 5:19, Ephesians 4:17-19, 28, Colossians 3:5-9) Students are to adhere to the behavior, academic, and dress code requirements as stated in the handbook. (Romans 13:1-2, John 8:31, 2 Timothy 3:16, John 14:15) This is a partnership between the school, the parent, and the student. The school will enforce these standards to the best of its ability. The parent enforces these standards while the student is associated with Lake Country Christian School during the school term and the summer. LCCS students involved in illegal/immoral activities are subject to disciplinary action on a case by case basis, which could include expulsion. If students are currently involved in these activities and are repentant and wish to remain at LCCS, they should come forward to an administrator. In such cases, an accountability program may be set up in lieu of expulsion.Did you read the Respect Agreement?(Required) Yes No Social MediaAs part of our background check, social media accounts may be reviewed. Providing your @username on platforms (Facebook, Instagram, X) is helpful. Legal HistoryFor 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 No Have you been arrested for any matters for which you are out on bail on your own recognizance pending trial? Yes No Have you ever been charged with a sexual offense, offense relating to children, or crime of violence? Yes No 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 No 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 No Provide a detailed explanation for any "YES" answers in the above section.Applicant Signature, Certification, and Release of InformationCertification of InformationRead 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 InformationI 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.CertificationApplicant'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