Applicant information

First name

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Last name

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Phone

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Phone type
Email address

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Email type

Address

Address

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Apartment, suite, etc. (optional)
City

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Country/region

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State

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ZIP code

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Date of birth

Month

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Day

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Year

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A.

Employment Application

All answers should be as complete as possible. Responses will be held in confidence. All applications will remain on file for a minimum of 6 months from date of application.

Position Desired

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Referred By

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Full Time or Part Time

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Minimum Salary Requirement

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B.

Personal Information

Gender

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Military Status (if applicable)

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Are you legally able to work in the US?

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Are you a previous applicant? If yes, Year of application

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Are you a previous employee? If yes, Year (s) of employment

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Are you over the age of 17?

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If under 18, do you have working papers?

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Can you perform the essential functions of the above job with or without reasonable accommodation?

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Have you ever been convicted of a felony or pleaded no contest to felony charges? (If yes, please give details at the bottom of the application)

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Have you ever been convicted of or pleaded no contest to any crime of violence or to child neglect? (If yes, please give details at the bottom of the application).)

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How did you find out about Little Light House?

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C.

Non-Discrimination Policy

Little Light House does not discriminate against any applicant or employee on the basis of age (40 or older), race, color, sex, pregnancy, national origin, disability, or genetic information. Specifically but without limitation, LLH does not fail or refuse to hire, discharge, or otherwise discriminate against any individual with respect to his or her compensation, terms, conditions, or privileges of employment because of any such characteristic. Nor does LLH limit, segregate, or classify employees or applicants for employment in any way which would deprive or tend to deprive any individual of employment opportunities or otherwise adversely affect his or her status as an employee because of any such characteristic.

By signing my name, I hereby state that all information on this application and presented by me in the application process is true and correct. I understand that any attempt on my part to submit false or misleading information may preclude future employment with this ministry

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D.

Professional/Business Reference #1

Give name and telephone number of three business references with names of supervisors from your most recent work experience and three personal references that are not related to you. If supervisor references are not possible, please state why on the bottom of the application.

Name

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Phone

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Email

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Relationship

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Length of Relationship

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E.

Professional/Business Reference #2

Name

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Phone

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Email

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Relationship

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Length of Relationship

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F.

Professional/Business Reference #3

Name

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Phone

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Email

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Relationship

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Length of Relationship

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G.

Personal Reference #1

Name

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Phone

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Email

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Relationship

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Length of Relationship

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H.

Personal Reference #2

Name

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Phone

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Email

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Relationship

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Length of Relationship

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I.

Personal Reference #3

Name

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Phone

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Email

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Relationship

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Length of Relationship

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J.

Employment History

Current/Most Recent Employer

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Position

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Address

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Date of Employment

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Annual Salary

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Reason Left

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K.

Employment History

Employer

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Position

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Address

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Dates of Employment

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Annual Salary

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Reason Left

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L.

Employment History

Employer

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Position

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Address

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Dates of Employment

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Annual Salary

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Reason Left

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M.

Academic History

School or University #1

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Diploma/Degree Earned

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Years Completed

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Date of Attendance

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School or University #2

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Diploma/Degree Earned

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Years Completed

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Date of Attendance

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School or University #3

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Diploma/Degree Earned

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Years Completed

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Date of Attendance

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Describe any special courses/training received in Administration or Special Education that is relevant to the position.

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List special certificates or licenses

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Describe any special courses/training received in Christian Education

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Describe any special honors received, articles or books published, offices held, etc

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Would you be willing to take additional college courses or attend educational workshops?

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What are your future educational goals?

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N.

Spiritual and Personal Information

Note, LLH is a religious entity, and as such reserves the right to make employment decisions on the basis of religious practices and doctrine

Name of church currently attending

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Address, City, State, Zip Code

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Have you accepted Jesus Christ as your Lord and Savior? Please provide the date

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Please give a brief testimony of how and when you became a Christian and also describe the role that Jesus Christ has had and currently has in your life.

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Please comment on the Lord’s leading in your life in regard to working at the Little Light House

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What is God saying to you and doing in your life at the present time?

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How has your walk with Christ changed over the last five years?

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Describe any type of Christian service in which you have been involved:

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Are you committed to reading and studying your Bible on a regular basis?

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Are you committed to daily prayer?

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Do you feel you walk in love toward others and have the peace and joy of the Lord in your life?

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Are you committed to living in such a way that the habits and attitudes of your life are a good testimony of Jesus to others?

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If you were to have a need arise for Christian counseling while employed with the Little Light House, would you be willing to receive it?

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Are you committed to living by biblical principles?

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To preserve the unity of the staff, are you willing to honor the Little Light House policy that staff members are not to impose their own denominational, doctrinal, political, or controversial views on other staff members?

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Are you committed to a life of spiritual growth?

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What temperament best describes your personality best? Please rank in order of dominance: Outgoing, Leader/Organizer, Easy Going, Serious-Thoughtful

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O.

Additional Information

If there is anything else you would like to add, please do so here.

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P.

Application Confirmation

By signing my name, I recognize my position at Little Light House is a blessing and a privilege, and I am committed to giving my best as “service to the Lord”, and to prayerfully support Little Light House's mission to “Glorify God by improving the quality of life for children with special needs, their families and communities".

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Q.

Resume

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Description

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