LMI Electronic Job Application

PRE-EMPLOYMENT QUESTIONNAIRE FOR APPLICANTS
Thank you for your interest in Lighthouse Ministries and the people we serve. We are privileged to see broken lives transformed every day through the good news of Jesus Christ.

We trust that God will send the right person with all the skills and experience we need at this time. Please take the time to review this questionnaire.

If you remain interested, please complete and upload your resume as an attachment (the file uploader is available at the end of the application). You have the option to continue and submit this application electronically, or print a hard copy (found here). Once completed, you can scan it and send as an email attachment to kbridges@lighthousemin.org or you may mail it directly to Lighthouse Ministries, Inc., 215 East Magnolia Street, Lakeland, FL 33801 to the attention of Kyle Bridges. Thank you.
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
CORE VALUES:

JESUS CHRIST

TRUTH

INTEGRITY

COMPASSION

ACCOUNTABILITY

DISCIPLINE

UNITY
1. What do these values tell you about Lighthouse Ministries, Inc. (LMI)?*
2. Please explain why you would like to work for LMI.*
3. We are a Christian ministry. To you, personally, who is Jesus Christ?*
4. How important do you think chapel attendance and leadership meetings are for your development?*
5. Tell us about any previous ministry experience or involvement.*
6. If you are currently employed, why are you willing to leave? If not currently employed, why did you leave your last employer?*
7. List five words or phrases that best describe you.*
8. What has been the most important/valuable correction/criticism you have received?*
9. Within the workplace, what has been the greatest compliment you have been given?*
10. Describe your work ethic.*

11. Please rate yourself by ordering the following skills from 1-10, with 1 being the lowest and 10 being the highest.*

	Rating
Verbal Skills
Organization
Written Skills
Reliability Attendance
Judgment
Interpersonal Skills
Time Management
Problem Solving
Spiritual Maturity
Attitude
Computer Skills
Solution Oriented
Team Player

APPLICATION FOR EMPLOYMENT
Personal Information
Full Name*

First NameLast Name
Have you gone by another name(s) during any period(s) of employment? If so, please list.*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
If you are under 18 years of age, can you provide a work permit?*

YesNo
Salary Desired*
Position(s) applying for*
How did you hear about this position?*
Date available for work*

MonthDayYear
Type of employment desired (check all that apply)*

Full-timePart-timeSeasonalTemporary
Please indicate the times you are available to work:

	Mornings	Afternoons	Evenings
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Can you, upon conditional offer of employment, provide genuine documentation establishing identity and eligibility to be legally employed in the Unites States?*

YesNo
Have you ever been convicted of a felony?*

YesNo
If yes, give dates and explain.*
_{CONVICTION WILL NOT NECESSARILY DISQUALIFY AN APPLICANT FROM EMPLOYMENT.}
Education
Did you complete high school?*

YesNo
Do you have a high school diploma or G.E.D.?*

YesNo

	Name	City/State	Course of Study	Years attended	Did you graduate?	Degree certification
High School
College
Business, Tech or Trade
Other

Are you currently a college student?*

YesNo
Major?
What is your status?*
Are you attending full or part-time?*

Full-timePart-timeOnlineOther
List any other certifications, licenses or specialized training
Employment History

List your last four employers, beginning with current or most recent. Put none if needed.
1. Employer*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Job title*
Start date*
End date*
Describe your duties and responsibilities*
Supervisor's name*
Title*
Phone Number*

Area CodePhone Number
Ext.
May we contact?*

YesNo
Reason for leaving?*
2. Employer*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Job title*
Start date*
End date*
Describe your duties and responsibilities*
Supervisor's name*
Title*
Phone Number*

Area CodePhone Number
Ext.*
May we contact?*

YesNo
Reason for leaving?*
3. Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Job title
Start date
End date
Describe your duties and responsibilities
Supervisor's name
Title
Phone Number

Area CodePhone Number
Ext.
May we contact?

YesNo
Reason for leaving?
4. Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Job title
Start date
End date
Describe your duties and responsibilities
Supervisor's name
Title
Phone Number

Area CodePhone Number
Ext.
May we contact?

YesNo
Reason for leaving?
References

List three personal references not related to you.
Reference #1*

First NameLast Name
Phone Number*

Area CodePhone Number
Occupation*
Years known*
Reference #2*

First NameLast Name
Phone Number*

Area CodePhone Number
Occupation*
Years known*
Reference #3*

First NameLast Name
Phone Number*

Area CodePhone Number
Occupation*
Years known*
Please use the space below to share your Christian testimony:*
Attach resume

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QUALIFICATIONS FOR EMPLOYMENT

PRE-EMPLOYMENT QUESTIONNAIRE FOR APPLICANTS

APPLICATION FOR EMPLOYMENT

Personal Information

Education

Employment History

References