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
2 digit month, 2 digit day, 4 digit yearDate
Currently attending school?
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)
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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