Application For Employment

Lubbock Christian School

2604 Dover Ave, Lubbock, TX, 79407. 806-796-8700 www.lubbockchristian.org
What position are you applying for?
Name*

First NameMiddle NameLast Name
Social Security*
Drivers License Number
Email*
example@example.com
Date of Application*

MonthDayYear
Date
Date Available*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / 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	GPA	Major/Minor	Semester	Dates Attended	Degree/Certification Earned
1
2
3
4
5
6

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
1
2
3
4
5
6

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
1
2
3
4
5
6

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?*

YesNo
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?

NoYes - MisdemeanorYes - Felony
Offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, indecency with a minor).*

YesNo
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
1
2

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
1
2

Why are you seeking employment with 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.

By signing below, I authorize Lubbock Christian School and/or its agents to:
- Obtain verification of any information provided by me in this employment application and in any supplemental questionnaire, exhibit, resume, or curriculum vitae;
- Obtain information regarding my work habits, skills, salary, and worker’s compensation claims from my past and present employers, as well as listed or developed references or institutions;
- Obtain information from law enforcement and other governmental agencies, military authorities, and private companies concerning my conduct, including traffic and criminal violations;
- Obtain information from educational institutions concerning my educational record, conduct, and skills; and
- Obtain information concerning my credit history, reports, and bankruptcy filings from credit reporting agencies, financial institutions, and other sources.
Electronic signature of applicant *

Clear
Date*

MonthDayYear
Date
Should be Empty:

Lubbock Christian School

Education

Employment Outside Education

Teaching or other school experience

Other Skills

Criminal History

References