LCF Housing

APPLICANT INFORMATION

Please allow a minimum of 20 minutes to complete this application as it cannot be saved in order to continue at another time. All fields marked with an asterisk must be filled in. If you are having trouble submitting form, please recheck all fields for any that are highlighted in red. Please-NO PHONE CALLS about any positions. Thank you.

Last *

First *

Middle *

Email *

Home Phone

Mobile Phone *

Street Address *

Apartment #

City *

State *

Zip Code *

Employment Desired *

Full-time

Part-time

Full- or Part- time

Position Applying For *

Desired Salary *

Are You a Citizen of the United States? *

Yes

No

If No, Are You Authorized to Work in the U.S.? *

Yes

No

Previous/Other Names Used *

Emergency Contact Name *

Emergency Contact's Address *

Emergency Contact Phone Number *

Have You Ever Been Convicted of Any Crime, Including Sex Related or Child Abuse Offenses? *

Yes

No

If Yes, Please Explain *

Attach Resume (.pdf / .doc / .docx) *

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Maximum upload size: 33.55MB

Attach a Cover Letter

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Maximum upload size: 33.55MB

EDUCATION

High School *

High School

Name of School

Street Address

City

State/Province

Zip/Postal

Degree or Subjects Studied *

Number of Years Attended? *

Did you Graduate? *

Yes

No

College or Technical School

Name of School

Address

City

State/Province

Zip/Postal

Country

Degree or Subjects Studied

Number of Years Attended?

Did you Graduate?

Yes

No

Trade School / Other Education

Name of School

Address

City

State/Province

Zip/Postal

Country

Degree or Subjects Studied

Number of Years Attended?

Did you Graduate?

Yes

No

PROFESSIONAL REFERENCES

These must be Professional References of person(s) who you've worked with previously.

1st Professional Reference *

Name of Company *

Company Address *

Relationship to Reference *

Phone Number of Reference *

Email Address of Reference

2nd Professional Reference *

Name of Company *

Company Address *

Relationship to Reference *

Phone Number of Reference *

Email Address of Reference

3rd Professional Reference *

Name of Company *

Company Address *

Relationship to Reference *

Phone Number of Reference *

Email Address of Reference

SKILLS

Microsoft Word *

None

Basic

Intermediate

Proficient

Microsoft Excel *

None

Basic

Intermediate

Proficient

Customer Service Experience *

None

Basic

Intermediate

Proficient

Writing/Editing/Proofreading *

None

Basic

Intermediate

Proficient

Multi-Line Phone System *

None

Basic

Intermediate

Proficient

Detail Oriented *

None

Basic

Intermediate

Proficient

Organizational Skills *

None

Basic

Intermediate

Proficient

Building Maintenance Experience *

None

Basic

Intermediate

Proficient

Management Experience *

None

1-2 years

3-4 years

5+ years

Accounting Experience *

None

Basic

Intermediate (work experience)

Proficient (work experience)

Time Management Skills/Multi-tasking *

None

Basic

Intermediate

Proficient

Experience Working with Individuals of Diverse Backgrounds (check all that apply) *

Please list any additional skills you have that are relevant to this position:

EMPLOYMENT

Are you currently employed? *

Yes

No

Current/Most Recent Employment *

Current/Most Recent Employment

Full Name of Company

Street Address

City

State/Province

Zip/Postal

Your Job Title *

From *

To *

Are you currently working for this company? *

Yes

No longer working for this company

If NO, please give reason for leaving. *

Supervisor's Name *

Supervisor's Phone Number *

May We Contact Your Current Supervisor? *

Job Responsibilities: *

Starting Salary *

Current/Ending Salary *

Previous Employment *

Previous Employment

Full Name of Company

Street Address

City

State/Province

Zip/Postal

Your Job Title *

From *

To *

Are you still employed by this company? *

Yes

No longer employed by this company

If NO, please explain reason for leaving *

Supervisor's Name *

Supervisor's Phone Number *

May We Contact This Supervisor? *

Job Responsibilities: *

Starting Salary *

Current/Ending Salary *

Previous Employment 2 *

Previous Employment 2

Full Company Name

Street Address

City

State/Province

Zip/Postal

Your Job Title *

From *

To *

Are you currently working for this company? *

Yes

No longer working for this company

If NO, please give reason for leaving. *

Supervisor's Name *

Supervisor's Phone Number *

May We Contact This Supervisor? *

Job Responsibilities: *

Starting Salary *

Current/Ending Salary *

MILITARY SERVICE

Branch of Military

From:

To:

Rank at Discharge

Type of Discharge

If other than honorable, please explain:

Please explain why you would be the ideal candidate for this position: *

Additional Information

Do you have a reliable means of transportation? *

Yes

No

Do you have a valid Driver's License? *

Yes

No

Are you willing to undergo a Background Check? *

Yes

No

Are you willing to submit to a drug screen? *

Yes

No

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in employment termination.

Signature *

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LCF Employment Application – HOPE II After School Program Coordinator

APPLICANT INFORMATION

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EDUCATION

PROFESSIONAL REFERENCES

SKILLS

EMPLOYMENT

MILITARY SERVICE

Additional Information

DISCLAIMER AND SIGNATURE

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