Full Time Summer Staff Application Form

Lake Lavon Camp and Conference Center Application For Employment
Full Name *

First Name Middle Name Last Name
Position you are applying for:
What is your age? *
What is your date of birth?

- Month - Day Year
If hired, what date would you be able to start?

- Month - Day Year

Current Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email Address *
Phone Number *

- Area Code Phone Number
What is your t-shirt size? *
Social Security Number
Do you have a valid driver’s license? *
Driver's License State of Issue:
Driver's License Number if obtained
Upload Resume if desired

Upload a File

Cancel of

Employment History

If no work experience please indicate with N/A
Name of Company
Start Date

- Month - Day Year
End Date

- Month - Day Year

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
Describe Duties
Reason for Leaving
Name of Company
Start Date

- Month - Day Year
End Date

- Month - Day Year

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
Describe Duties
Reason for Leaving

Volunteer History

If no volunteer experience please indicate with N/A
Name of Organization
Describe Duties
Name of Organization
Describe Duties

Education/Military Experience
High School
College/University, Vocational School, or Military Branch

Church Membership
Name of Church
Church Leadership or Pastor

References
Professional Reference *
Phone Number *

- Area Code Phone Number
E-mail *
Personal Reference *
Phone Number *

- Area Code Phone Number
E-mail *
Family Member *
Phone Number *

- Area Code Phone Number
E-mail *

Personal History
Have you worked for Lake Lavon Camp before? *
Are you legally eligible to work in the United States? *
Have you ever been convicted of any moving violation? If yes, please explain: *
Explanation
Have you ever been convicted of a crime or municipal ordinance violation in any federal, state, or municipal court? If yes, please describe: *
Explanation
Have you ever pled guilty, been found guilty, entered a plea of nolo contendere or Alford plea of guilty for ANY offense? If yes, please explain: *
Explanation
Have you ever pled guilty, been found guilty, entered a plea nolo contendere or Alford plea of guilty to any offense involving a minor (child)? If yes, please explain: *
Explanation
Have you ever been placed on probation, received a Suspended Execution of Sentence or Suspended Imposition of Sentence? If yes, please explain: *
Explanation
Have you ever been placed on probation, received a Suspended Execution of Sentence or Suspended Imposition of Sentence involving a minor (child)? If yes, please explain: *
Are you or have you ever been placed on any local, state, or federal registry for sex offenders? *
Explanation
Have you ever been sued in a civil court of law where the allegations in the suit involved illegal, inappropriate, or sexual conduct or contact with a minor (child)? If yes, please explain: *
Explantion
Is anyone related to you employed by our organization? If yes, please provide that person’s name and relationship to you: *
Name of relation employed by our organization:

Spiritual Testimony
Have you made a public profession of faith in Jesus Christ?
Should you feel inclined, please provide a short summary of your spiritual worldview and/or testimony:

CERTIFICATION

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate, and complete to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts in said documents will be cause for denial of this application or immediate termination of employment regardless of the timing or circumstances of discovery. I understand that submission of an application does not guarantee acceptance. I further understand that, should Lake Lavon Camp & Conference Center extend an employment opportunity, such position is at will, for no specific duration, and may be terminated by either Lake Lavon Camp or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, or statements of Lake Lavon Camp or its representatives used during the application process is deemed a contract, real or implied. In consideration for employment with Lake Lavon Camp & Conference Center, if accepted, I agree to conform to the rules, regulations, policies, and procedures of Lake Lavon Camp at all times and understand that such obedience is a condition of employment. I understand that, if seriously considered for a position with Lake Lavon Camp & Conference Center, I will be required to submit to a background check as a condition of employment. I understand that unsatisfactory result from, refusal to cooperate with, or attempt to affect the results of these background checks will result in withdrawal of any employment offer or of current position, if already employed. I hereby authorize any and all schools, former employers, references, courts, and any others who have information about me to provide such information to Lake Lavon Camp & Conference Center and/or any of its representatives, agents, or vendors, and I release all parties involved from any and all liability for any and all damage that may result from providing such information. I consent that any dispute between me and Lake Lavon Camp & Conference Center will be governed by the substantive laws of the State of Texas, and any mediation or suit that might occur shall be filed in the Collin County court system. If any part of this agreement is found by a court or any other appropriate authority to be invalid, the remainder of the agreement nevertheless will be in full force and effect.
Signature *

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Lake Lavon Camp and Conference Center Application For Employment

Employment History

Volunteer History

Education/Military Experience

Church Membership

References

Personal History

Spiritual Testimony

CERTIFICATION