Application For Substitute Employment

Lubbock Christian School

2604 Dover Ave, Lubbock, TX, 79407. 806-796-8700 www.lubbockchristian.org
Name *

First Name Middle Name Last Name
Social Security *
Email *
example@example.com
Date of Application *

Month Day Year
Date
Date Available *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone Number *
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Education
High School *
City/State *

College/Location

Major/Minor

Semester

Dates Attended

Degree/Certification Earned

Lubbock Christian School is an equal opportunity employer. During the selection and employment process, individuals shall be employed without regard to race, creed, color, age, sex, religion, genetic information, marital or veteran status, disability, or any other legally protected reason.

Note: Nothing on this application is intended to create or imply a contractual relationship: if employed by LCS, the employ understands that as employment is at will, i.e., that is not for any specific time period and may be terminated at any time with or without reason.
Employment Outside Education

Other jobs you have held beginning with the most recent

Dates of work

Position/type of work

Employer email address

Supervisor name and phone number

Reason for leaving

Teaching or other school experience

Teaching jobs or experience you have had beginning with the most recent

Dates of work

Position/type of work

Employer email address

Supervisor name and phone number

Reason for leaving

Other Skills
Extracurricular: Extracurricular activities in which you have participated (give activity, time and dates of participation, and any honors or awards received. *
Technology/Clerical Skills: Computer or clerical skills (include type of programs and applications which you have experience and proficiency). *
Have you ever been discharged, asked to resign from a position, or had a contract non-renewed? *

Yes No
Criminal History
The district is required by section 21.917 of the Texas Education Code to obtain criminal history information on all applicants for employment.
Have you ever been convicted of, plead guilty to or no contest (nolo contendre), to either of the following?

Misdemeanor Felony
Offence involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, indecency with a minor). *

Yes No
If yes, please explain:
A felony conviction is not an automatic bar to employment.
References

Professional: List names of two references capable of giving information about your teaching or work related abilities. *

Full name of reference

School district/Business position/Relationship

Employer email address

Home Phone School Phone Numbers

Dates Supervised

Personal: Give two reference of persons who have known you for a number of years. These may include former teachers, principals, employers, friends, community leaders, clergy, or others. *

Full name of reference

Position/Relationship

Employer email address

Home Phone School Phone Numbers

Dates known or employed

Why are you seeking employment with the Lubbock Christian School? *
What do you feel are your strongest assets relative to the position for which you are applying? *
I herby certify that all the information provided is true, accurate, and complete to the best of my knowledge. Any falsification of this record will be sufficient cause for disqualification or dismissal after employment. Further, it is understood that this application becomes the property of the Lubbock Christian School, which reserves the right to accept or reject it. References and other information which become a part of this record are to be regarded as confidential and shall not be revealed to me.
Electronic signature of applicant *

Clear
Date *

Month Day Year
Date
Should be Empty:

Lubbock Christian School

Education

Employment Outside Education

Teaching or other school experience

Other Skills

Criminal History

References