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Online Employment Application

Employment Application
Position you are applying for:*

It is the policy of this organization to provide equal employment opportunities to all qualified persons without regard to race, color, sex, age, national origin, ancestry, disability, military status or any other protected classification in accordance with applicable federal, state and local laws.

Address:*

,  

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I am an U.S. Citizen or otherwise authorized to work in the United States on an unrestricted basis:*

List 10 years of employment history. Attach separate sheet if necessary.

May we contact?*

May we contact?

May we contact?

Name of School

Name of School

Name of School or Program

Have you accepted Jesus Christ as your personal Lord and Savior?*

Do you believe the Bible to be the only inspired and infallible Word of God, our final authority in all matters of faith, truth and conduct?*

Do you currently have a church home?*

Have you been attending church regularly (weekly) for the past 12 months?*

How important do you think it is to attend church regularly as it relates to your ability to do your job?*

Do you ever consume or use any of the following?*

Please explain briefly what you believe about the following:

Please give a brief description of how you came to receive your salvation through Jesus Christ:

CERTIFICATION AND AGREEMENT*

I understand that Life Changers International Church/Valeo Academy/ Gregory Dickow Ministries (hereafter “LCIC”) does not discriminate in its employment practices against any person because of race, color, sex, age, national or ethnic origin, ancestry, disability, military status or any other protected classification in accordance with applicable federal, state and local laws. I hereby certify that the facts set forth in this initial application are true and complete to the best of my knowledge. I understand that discovery of falsification of any statement or a significant omission of fact may prevent me from being hired, or if hired, may subject me to immediate dismissal regardless of the time elapsed before discovery. If I am released under these circumstances, I further understand that I will be paid and receive benefits only through the day of release. I authorize references and my former employers to disclose to LCIC any and all employment records, performance reviews, letters, reports, and other information related to my suitability for employment, without giving me prior notice of such disclosure. In addition, I hereby release LCIC, my former employers, references, and all other parties from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure. I waive the right to ever personally view any references given to the school. I understand that I will undergo a background and criminal records check and will be asked to complete an Authorization to Obtain Consumer Report for the purposes of obtaining an investigative consumer report for consideration of employment. I understand and agree that any offer of employment that I may receive from LCIC is conditioned upon the receipt of background information, including criminal background information. I understand that this is only an application for employment and that no employment contract is being offered at this time. I certify that I have carefully read and understand the above statements.