Summer Staff Application

  • LCLC Summer Staff Application

  • Voluntary Disclosure Information

  • Position Desired

  • Skills and Certifications

  • Please answer the following questions in the space provided.

  • References

    Please list three personal references below. Include their name, relationship to you, phone number, and how long they've known you.
  • Affidavit

    Please read the following and indicate your agreement below: *All information provided in this application is complete and accurate to the best of my knowledge. *LCLC has my permission to investigate my employment history, references, and any other information on this application. *Misrepresentation of facts on this application will disqualify me from further consideration or, if I am employed by LCLC, may be sufficient grounds for dismissal.
    My child, the applicant named above, has my permission to apply for summer employment at LCLC. If hired, I also give my child permission to work at LCLC this summer.