Careers application

Name*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Available Date*

Phone*

Email Address*

Best Time to Contact You

:

Are you 18 years of age, or over?*

Yes
No

Are you legally eligible for employment in the U.S.A?*

If hired, you will be required to produce documents of your eligibility in compliance with Federal Form I-9

Yes
No

Other names used in prior employment:

Position(s) Applying For:*

K3 AIDE
K2 TEACHER
Substitute Teacher
Lifeway School SUMMER CAMP

Have you previously applied for employment with our school?*

Yes
No

If so, when?

If so, what type of position was applied for?

How were you referred to our school?*

Name of referral source indicated above

Have you...*

Been the subject of an investigation (including abuse or sexual misconduct) by any employer, state licensing agency, law enforcement agency or child protective services agency (unless the investigation resulted in a finding that the allegations were false)?

Yes
No

Have you...*

Been disciplined, discharged, non-renewed, asked to resign from employment, resigned from or otherwise separated from employment while allegations of any type (including abuse or sexual misconduct) were pending or under investigation or due to adjudication or findings of abuse or sexual misconduct?

Yes
No

Have you...*

Had a license, professional license or certificate suspended, surrendered or revoked while allegations of abuse or sexual misconduct were pending or under investigation or due to an adjudication or findings of abuse or sexual misconduct?

Yes
No

Have you...*

Have plead guilty to, or been convicted of a criminal offense?

Yes
No

If yes to any of the questions above, please provide dates and circumstances.

Would you agree to a pre-employment and/or post-employment drug screening by a physician, clinic or other health care provider selected by the school?*

Yes
No

Are you currently under contract with any school/district for the next school year?*

Yes
No

Have you ever been involuntarily terminated, non-renewed, suspended or asked to resign from the employment of another school, school district or employer?*

Yes
No

Have you ever resigned after receiving notice of proposed contract non-renewal or termination?*

Yes
No

Are you a relative of any current employee of Lifeway Baptist School?*

Yes
No

Professional References*

It is the policy of Lifeway Baptist School to secure reference/background checks of an applicant. List three business/professional references who are not related to you and who were (are) not your direct supervisor. ( List in order: Name, Address, City/State, Zip Code, Phone, Years known )

Personal References*

List three personal references that are not related to you. ( List in order: Name, Address, City/State, Zip Code, Phone, Years known )

Employment History*

Upload a document of your employment history with 3 previous/current employers. Include Employer Name, Address, Phone Number, beginning and ending dates, Salary, Position, Supervisor's Name, Job Duties/Responsibilities, Reason for terminating or considering a change, and if we may contact them. ( Beginning withe Current or Most Recent Employer. )

Max. file size: 50 MB.

Educational Background*

List your educational background: Institution Name, starting and ending dates of attendance, City located in, and whether a Degree was obtained. ( Ex: High School, College, Graduate School etc. )

Related Skills and Experience*

List your skills, training and/or professional acknowledgements that are specific to this position:

Microsoft Word*