Application for employment
815 Country Lake Rd, Underwood IN 47177

Please note, there is no partial save for this application. Please be sure to allocate enough time to finish.
Name *
(include middle name)
Your answer
Address *
(Street, City, State / Province, Postal / Zip Code, Country)
Your answer
Years at current residence
Your answer
Phone number *
Your answer
What is your email address? *
(Please use a valid email address as we may use it to contact you)
Your answer
Are you at least 18 years of age? *
Required
If under 18, do you have a work permit?
Drivers license #
Your answer
Position Desired
Check all that apply
Position(s) Desired *
Required
Skills
Tell us your talents!
I am skilled in the following areas: *
Required
What date are you available to start? *
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DD
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Have you ever applied to Country Lake before? *
Have you ever been convicted of a felony? *
Can you, after employment, submit verification of your identity and legal right to work in the United States? *
If you are not a citizen, what is your visa status?
Your answer
Can you, after employment, submit verification of your lifeguard certification?
(Required for Some Postions)
Are you a member of Southeast Christian?
Are you willing to sign the Country Lake Statement of Faith? *
The Statement of Faith can be found here: http://countrylake.org/about/
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.
Your answer
Education & Training
Highest level of education *
If you have a college degree or are pursuing one, what is your major/degree?
Your answer
Work history *
Please tell us about your previous position and how long you held that position.
Your answer
References
Reference #1
Please list their name, address
Your answer
Reference #1 Phone Number
Your answer
How long have you known reference #1?
Your answer
Describe your relationship with reference #1
How did you come to know this person?
Your answer
Reference #2
Please list their name, address
Your answer
Reference #2 Phone Number
Your answer
How long have you known reference #2?
Reference #2
Your answer
Describe your relationship with reference #2
How did you come to know this person?
Your answer
Reference #3
Please list their name, address
Your answer
Reference #3 Phone Number
Your answer
How long have you known reference #3?
Reference #3
Your answer
Describe your relationship with reference #3
How did you come to know this person?
Your answer
What prompted your application to this ministry? *
If you chose referral please list their name:
Your answer
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. *
Your answer
Today's Date *
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