Employment Application – Little Lambs Christian Learning Center

Little Lambs Christian Learning Center

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763.270.1130

Employment Application

Personal Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Phone Number

Mobile Number

Are You a U.S. Citizen?(Required)

Yes

No

Have You Ever Been Convicted of a Felony?(Required)

Yes

No

If so please provide state of conviction and describe circumstances

Position

Position You Are Applying For(Required)

Available Start Date

MM slash DD slash YYYY

Desired Pay

Employment Desired

Full Time

Part Time

Seasonal/Temporary

Education

School Name

Location

Years Attended

Degree Received

Major

School Name

Location

Years Attended

Degree Received

Major

School Name

Location

Years Attended

Degree Received

Major

School Name

Location

Years Attended

Degree Received

Major

References

Reference Name (1)

Title

Company

Phone

Reference Name (2)

Title

Company

Phone

Reference Name (3)

Title

Company

Phone

Special Skills / Additional Training

Describe Special Skills / Training

Please describe any special job-related skills and qualifications acquired from employment, other education or volunteer experience.

Employment History

Employer (1)

Job Title

Dates Employed

Work Phone

Starting Pay Rate

Ending Pay Rate

Address

Street Address City State ZIP Code

Employer (2)

Job Title

Dates Employed

Work Phone

Starting Pay Rate

Ending Pay Rate

Address

Street Address City State ZIP Code

Employer (3)

Job Title

Dates Employed

Work Phone

Starting Pay Rate

Ending Pay Rate

Address

Street Address City State ZIP Code

Signature Disclaimer

Consent(Required)

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 my release.

Consent(Required)

I authorize any person, organization or company listed on this application to furnish you all information concerning my previous employment, education and qualifications for employment. I also authorize you to request and receive such information.

Consent(Required)

In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, add or interpreted at any time, at the company's sole option and without prior notice to me.

Name(Required)

First Last

Signature(Required)

Admission/Rates

1103 School Street NW
Elk River, MN 55330

Phone: 763-270-1130
haley.minor@littlelambsclc.org

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