Clone of 2025 LSBC Summer Job Application

Job Application

Please complete the form below to apply for a position with us.
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Birthdate*

MonthDayYear
Date
Currently attending school?

YESNO
Name of school/college:
Name of church you attend:
Church Phone #

Area CodePhone Number
Pastor's Name & Email
List any valid certifications you currently hold (CPR, lifeguard, food handling, etc.)
What are your Strengths?
What are your Weaknesses?
1. Reference - Name/Relationship
1. Reference - Contact Info - Email and Phone Number
2. Reference - Name/Relationship
2. Reference - Contact Info - Email and Phone Number
3. Reference - Name/Relationship
3. Reference - Contact Info - Email and Phone Number
Are you active on social media? (check all that apply)

FacebookInstagramTwitterother
Please Choose your first choice for Summer Staff position
Choose your Second Choice for Summer Staff positions
Choose your Third Choice for Summer Staff Positions
Upload Resume - please include both work and volunteer experience*

Upload a File

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