Luccock Job Application Form

Application for Employment |

Please complete the form below to apply for a position with Luccock Park Camp. All information collected through this application will be kept confidential and only used for its intended purpose.

Full name*

First NameMiddle NameLast Name

Date of birth*

MonthDayYear

Current address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email address*

Phone number*

Area CodePhone Number

Applying for position*

Full-time or part-time?*

Full TimePart Time

Are you currently attending school?*

YesNo

Please briefly describe any experience you have with Luccock Park.

Please describe any skills you will bring to the job that may be helpful to Luccock Park.

Are you currently employed?*

YesNo

Company name

Your job title

Supervisor name

First NameLast Name

Supervisor's phone

Area CodePhone Number

Dates employed

May we contact?

YesNo

Do you possess a valid driver's license?*

YesNo

Job duties may include assisting other areas such as housekeeping, kitchen, washing dishes, groundskeeping. Are you comfortable supporting the team in that way?*

YesNo

Luccock Park Camp's mission statement reads as follows: "... to be a safe sanctuary of Christian hospitality, renewal, and learning within God’s natural world." Are you committed to supporting that mission?*

YesNo

Do you know how to operate a wide variety of small tools and maintenance equipment?*

YesNo

Do you enjoy working in a kitchen, including doing dishes, cutting vegetables, and preparing food?*

YesNo

Are you able to lift from the ground?*

YesNo

Are you able to work outdoors in all weather?*

YesNo

Are you comfortable working with large groups of people?*

YesNo

Are you able to spend hours on your feet?*

YesNo

Are you able to lift up to 50 lbs?*

YesNo

Are you able to spend large amounts of time alone?*

YesNo

This position requires all employees pass a background check. Do you expect to pass a background check, or be able to explain any issues that arise?*

YesNo

3 words friends use to describe you

3 words supervisors use to describe you

Available start date (Camp season generally runs May - Sept.)*

MonthDayYear

End of availability*

Date

Optional upload resume

Upload a File

Please upload only .pdf, .doc, or .docx

Applicant Statement

I certify that all of the information I have provided in order to apply for and secure work with the employer is true, complete and correct.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references, employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.
I understand that this application remains current for 90 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with our without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specific period or defined duration. I understand that no supervisor or representative of the employer is authorized to make any assurance to the contrary and that no implied, oral or written agreements contrary to the foregoing expressed language are valid unless they are in writing and signed by the employer’s president.
I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service whenever it is discovered.

By entering my full name below, I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Name*

First NameLast Name

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