Application for employment

Name

(include middle name)

This is a required question

Address

(Street, City, State / Province, Postal / Zip Code, Country)

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Years at current residence

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Phone number

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What is your email address?

(Please use a valid email address as we may use it to contact you)

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Are you at least 18 years of age?

This is a required question

If under 18, do you have a work permit?

This is a required question

Drivers license #

This is a required question

Position Desired

This is a required question

What date are you available to start?

Have you ever applied to Country Lake before?

This is a required question

Have you ever been convicted of a felony?

This is a required question

Can you, after employment, submit verification of your identity and legal right to work in the United States?

This is a required question

If you are not a citizen, what is your visa status?

This is a required question

Can you, after employment, submit verification of your lifeguard certification?

(Required for Some Postions)

Yes
No
Will not apply to me

This is a required question

Are you a member of Southeast Christian?

This is a required question

Are you willing to sign the Country Lake Statement of Faith?

The Statement of Faith can be found here: http://countrylake.org/about/

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Skills

Tell us your talents!

If applicable to the position for which you are applying, indicate knowledge of the above skills or equipment:

*also explain any other skills, aptitude or educational courses/degrees you have which you feel could qualify you for the type of work you seek with this ministry.

This is a required question

Education & Training

Highest level of education

This is a required question

If you have a college degree or are pursuing one, what is your major/degree?

This is a required question

Work history

Please tell us about your previous position and how long you held that position.

This is a required question

References

Reference #1

Please list their name, address

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Reference #1 Phone Number

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How long have you known reference #1?

This is a required question

Describe your relationship with reference #1

How did you come to know this person?

This is a required question

Reference #2

Please list their name, address

This is a required question

Reference #2 Phone Number

This is a required question

How long have you known reference #2?

Reference #2

This is a required question

Describe your relationship with reference #2

How did you come to know this person?

This is a required question

Reference #3

Please list their name, address

This is a required question

Reference #3 Phone Number

This is a required question

How long have you known reference #3?

Reference #3

This is a required question

Describe your relationship with reference #3

How did you come to know this person?

This is a required question

What prompted your application to this ministry?

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If you chose referral please list their name:

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Signature

I agree that the above information is true & accurate. I give CLCR permission to do a background check. I understand that CLCR operates under a policy of Equal Employment Opportunity affirming the Center's policy of providing equal treatment for all Staff Members and applicants of employment in accordance with applicable laws, directives and regulations of federal, state & local governing bodies or agencies thereof. I further understand that my possible employment will be "at will" and neither Country Lake nor myself has entered into a contract regarding my employment or the duration of my employment.

By typing your name below, this will be considered your electronic signature.

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Today's Date