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LCF Employment Application
Information about this form.
LCF Employment Application
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)
*
Drop a file here or click to upload
Choose File
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
Name of School
Street Address
Street Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Degree or Subjects Studied
*
Number of Years Attended?
*
Did you Graduate?
*
Yes
No
College or Technical School
College or Technical School
Name of School
Name of School
Address
Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Degree or Subjects Studied
Number of Years Attended?
Did you Graduate?
Yes
No
Trade School / Other Education
Trade School / Other Education
Name of School
Name of School
Address
Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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)
*
Children
Elderly
Mentally Challanged
Physically Challanged
No Experience
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
Full Name of Company
Street Address
Street Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
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?
*
Yes
No
Job Responsibilities:
*
Starting Salary
*
Current/Ending Salary
*
Previous Employment
*
Previous Employment
Full Name of Company
Full Name of Company
Street Address
Street Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
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?
*
Yes
No
Job Responsibilities:
*
Starting Salary
*
Current/Ending Salary
*
Previous Employment 2
*
Previous Employment 2
Full Company Name
Full Company Name
Street Address
Street Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
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?
*
Yes
No
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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Type It
Clear
Submit
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