Employment Application - Lookout Mountain Presbyterian Church

LMPC Employment Application

This form is the online version of the LMPC Employment Application to be used for full-time and part-time staff positions.

"*" indicates required fields

Step 1 of 9 – LMPC Mission and Vision

Name

This field is for validation purposes and should be left unchanged.

LMPC Mission

Glorifying God by growing in grace and giving our lives away on the mountain, in the city, and around the world.

LMPC Vision

For the glory of our triune God, by the power of the Gospel of Jesus Christ, and through the work of the Holy Spirit, Lookout Mountain Presbyterian Church seeks to be a community of believers who:

Are responding to God’s grace and glory in worship and wonder,
Are being transformed in all of our relationships, and
Are participating in a Kingdom-building movement to renew all things.

Application Checklist

The following checklist is to ensure quick and efficient processing of your employment application. Every section of this application is important and should be read carefully.

I have provided the information asked of me to the best of my ability.
I have signed the Child Protection Policy Screening and Release of Information Statement.
I have read the Child Protection Policy.
If I am under age 18 and am filling out this application, I have had my parent or guardian sign where indicated.

Application Date*

Position you are applying for:*

Personal Information

Name*

The following is my true and complete legal name (as it appears on your driver’s license):

First Middle Last

Birth month and date*

Are you 18 years of age or older?*

Yes

Home Phone*

Cell Phone*

Best time to call you?

Email*

Permanent Address*

Street Address Address Line 2 City State ZIP Code

# years at this address*

Emergency contact name & number*

Are you a college student?*

Yes

College Students

College Address

Street Address Address Line 2 City State ZIP Code

College Phone

Employment History

Begin with most recent employer. Select the checkbox to add previous employers.

Start Date

month/year

End Date

Position/Job Title

Pay

Employer/Company

Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor Name and Email

May we contact?

Yes

Reason for leaving

Add another employer 1

I need to add another employer.

Previous Employer

Start Date

month/year

End Date

month/year

Position

Pay

Employer/Company

Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor Name and Email

May we contact?

Yes

Reason for leaving

Add another employer 2

I need to add another employer.

Previous Employer

Start Date

month/year

End Date

month/year

Position

Pay

Employer/Company

Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

May we contact?

Yes

Reason for leaving:

Personal References

List two personal references who are not related to you.

Name*

First Last

Address

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Name*

First Last

Address

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Notification and Authorization for Procurement of Consumer Reports

In connection with my application for volunteering/employment with Lookout Mountain Presbyterian Church ("Church"), I,*

[applicant’s printed legal name as it appears on your driver’s license]

understand and am hereby notified and authorize Church to procure a consumer report from a consumer reporting agency in accordance with the Fair Credit Reporting Act, 15 U.S.C. 1681, et seq. (the “FCRA”), for evaluation of me for volunteering/employment (i.e. volunteer service, employment, promotion, reassignment, or retention as an employee). I understand that these consumer reports may contain information from public records, including written, oral, or other communications bearing on my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living, which may or may not be used as a factor for volunteering/employment purposes. I further understand that such inquiries may include, but are not limited to, criminal history, motor vehicle records, employment history and verification, military background, civil listings, education background, and professional background, from any individual, corporation, partnership, law enforcement agency, institution, school, organization, credit bureau, state board, licensing agency, and other entities, including present and past employers. In connection with my application for volunteering /employment with Church, I further understand and am hereby notified that Church may procure an investigative consumer report concerning me from a consumer reporting agency. I understand that an investigative consumer report may contain information from public records, including, but not limited to, written, oral, or other communications bearing on my credit worthiness, credit standing, character, general reputation, personal characteristics, or mode of living, which may be obtained through personal interviews with neighbors, friends, or associates of me and may or may not be used as a factor for employment purposes. I further understand that such inquiries may include, but are not limited to, investigations regarding workers’ compensation, harassment, violence, theft, or fraud. I further understand that I have the right to make a written request within a reasonable period of time to Church for additional information concerning the nature and scope of the investigation and a written summary of my rights under the FCRA. I authorize without reservation any party or agency contacted by LMPC to furnish the above-referenced information. I further authorize ongoing procurement of the above-referenced reports at any time, either during the time my application for volunteering/employment is being considered or throughout the duration of my volunteering/employment in the event that I am accepted/hired or am a current Church volunteer/employee. I acknowledge that I have voluntarily provided the above information for volunteer/employment purposes, and I have carefully read and I understand this authorization.

Affirmation and Release

By initialing each bullet point below, I affirm that:

Initial*

The information contained in this application is correct to the best of my knowledge. I understand that any false statement or omission of information would be grounds for denial or termination of volunteer service or employment.

Initial*

I understand that I can withdraw from the application process at any time, but should my application be accepted, I agree to be bound by the policies of LMPC on behalf of the church. I acknowledge that these policies and applications do not constitute a contract between the church and me and that LMPC is not responsible for the individual acts of any worker.

Initial*

I have read and understand the LMPC Child Protection Policy and I agree to abide by all requirements and policies therein.

Initial*

I have read the Notification and Authorization for Procurement of Consumer Reports.

Initial*

I release LMPC and/or its agents, and any person or entity that provides information pursuant to this authorization, from any and all liabilities, claims, or law suits in regard to the information obtained from any and all of the above referenced sources used.

LMPC and its designated agents and representatives shall maintain all information received from this application in a confidential manner in order to protect the applicant’s personal information.

Parental Consent for Applicant Under 18

IF APPLICANT IS A MINOR, THE PARENT OR GUARDIAN MUST ALSO CERTIFY THIS APPLICATION.

Parent/Guardian Printed Name*

Date*

LMPC Employment Application

LMPC Mission

LMPC Vision

Application Checklist

Personal Information

College Students

Educational Background

High School

College

Graduate School

Other

Employment History

Previous Employer

Previous Employer

Personal References

Child Protection Policy Screening and Release Statement

Notification and Authorization for Procurement of Consumer Reports

Child Protection Policy

Affirmation and Release

Parental Consent for Applicant Under 18

Join Realm Connect

Tell Us About Yourself

General Information

Food/Beverage/Linens

A/V Equipment

Facility Use Rules & Regulations

Introduction

Rules and Regulations

Chapel (100)
Choir Room (60)
Courtyard
Fellowship Hall (380)
Fellowship Hall Lobby
Kitchen
Library
Main Parking Lot
Playground
Porte-cochere
Sanctuary (350)
Room 100 (Nursery Area)
Room 102 (Nursery Area)
Room 103 (Nursery Area)
Room 104 (Nursery Area)
Room 105 (Nursery Area)
Room 200 (Elementary)
Room 201 (Elementary)
Room 202 (Elementary)
Room 203 (Elementary)
Room 204 (Elementary)
Room 211
Room 212
Room 213
Room 300 (Elementary)
Room 301 (Elementary)
Room 312
Room 313

Child's Name	Age	Scholarship requested?

Family Member	Institution/Program

LMPC Employment Application

LMPC Mission

LMPC Vision

Application Checklist

Personal Information

College Students

Educational Background

High School

College

Graduate School

Other

Employment History

Previous Employer

Previous Employer

Personal References

Child Protection Policy Screening and Release Statement

Notification and Authorization for Procurement of Consumer Reports

Child Protection Policy

Affirmation and Release

Parental Consent for Applicant Under 18

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