Employment Application

Employment Application

Employment Application

We greatly appreciate your interest in our organization. All applicants are considered for all positions without regard to race, color, sex, age, religion, national origin, disability, marital status or veteran status. Please note this application must be completed in its entirety and signed in order to be considered. Information submitted on this application is subject to verification. NOTE: All new hires are required to submit documentation in accordance with the Immigration Reform and Control act of 1986. In addition, La Core Christian Academy employees may be required to submit to drug/alcohol testing both prior to their first day of employment and during the scope of their employment.
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Current Mailing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Are you legally eligible to work in this country?*

YesNo
Are you at least 16 years of age?*

YesNo
Position Applying For:
Date available to start:*
Desired Salary:*
Are you willing to work overtime if required?*

YesNo
Have you ever applied for a position with La Core before?*

YesNo
Are there any shifts or hours you can't work?*

YesNo
If yes, what are the hours you can't work
Have you ever been convicted of any crime other than a minor traffic violation?*

YesNo
If yes, state date and places where charges occurred (Note: answering “Yes” will not automatically disqualify you for employment)
Have you taken any illegal drugs in the past thirty (30) days?*

YesNo
Are you presently employed?*

YesNo
If yes, may we contact your present employer?
Highest level of education completed:*

Did not complete Highschool or GED equivalentHighschool or GEDCollege - 2 year degreeCollege - 4 year degreeGraduate SchoolTrade, Business, or Certification
List any other skills that would enhance your ability to perform this position
Company Name of Most Recent/Current Work Experience *
What were your responsibilities*
Please give accurate, complete full and part time employment record. Start with your present or most recent employer.
Job Title*
Employed From*

MonthDayYear
Date
Employed To*

MonthDayYear
Date
1st Previous Work Experience - Company Name*
Job Title*
What were your responsibilities?*
Employed From*

MonthDayYear
Date
Employed To*

MonthDayYear
Date
2nd Previous Work Experience - Company Name*
Please give accurate, complete full and part time employment record. Start with your present or most recent employer.
Employed From*

MonthDayYear
Date
Employed To*

MonthDayYear
Date
Reference #1*

First NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Reference #2*

First NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Employers listed above will be contacted unless the application indicates differently.Are there any employers above whom you do not wish for us to contact?*

YesNo
If yes, who?*
Upload Your Resume Here:

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Attestation

I hereby reaffirm that I have read the foregoing questions and that my answers to them are true and correct and that I have not misrepresented or withheld any information. I understand that falsification of this information may be cause for immediate dismissal. I further acknowledge that my employment may be terminated, and any offer of employment may be withdrawn without prior notice at any time by me or the company. I also understand that my employment is at will. This means that I am free to terminate my employment at any time, for any reason, and the company retains the same right. I understand that any offer of employment may be contingent upon a background investigation, which may include credit, criminal, motor vehicle or previous employment. I hereby authorize all references and former employers listed on my information they might have, personal or otherwise, and release all parties from any claims, causes of action, or liability from damages that may or could result in furnishing such information to the company.
Signature
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