Lifeline Children's Services Employment Application

A. Personal Information

Today's Date

Position Applying for:

Contact Information

Last Name

Middle Name

First Name

Preferred Name/Nickname:

Email Address:

Cell Phone:

Current Address

Full Mailing Address

City

State

Zip

Assessment Results

Have you taken any personality assessments?

YesNo

Please list your results below:

Myers Briggs Type Indicator:

DISC:

Enneagram:

Other:

Have you submitted an application for another position with us in the last 6 months? (If you completed an internship application, please select no)

YesNo

If yes, which position?

Please list any changes to your work experience, skillset, licensure in the last 6 months that would be helpful as we consider you for the new position you are applying for.

Lifeline Children’s Services

Statement of Faith & Partnership Acknowledgment

God (Father, Son, and Holy Spirit)

We believe in God, eternally existing in three Persons: Father, Son, and Holy Spirit. (Matthew 3:16-17; Matthew 28:19; John 1:1-51; John 10:30)
We believe that Jesus Christ is the one and only begotten Son of God, conceived by the Holy Spirit, born of the virgin Mary and is fully God and fully man. (Mark 14:61; Luke 3:22; John 8:58; Colossians 2:8-9; Philippians 2:5-11)
We believe in the physical resurrection of the crucified body of our Lord, in His ascension into Heaven, and His present life there for us as our High Priest and Advocate providing a sufficiency for body, soul, and spirit for the believers. (Acts 3:15; 1 Corinthians 15:12-32; Hebrews 4:14-16)

Salvation & The Work of Christ

We believe that the Lord Jesus Christ died for our sins according to the Scriptures as a representative, substitutionary, and complete sacrifice; and that all who believe in Him are justified on the ground of His shed blood. (Isaiah 53:46; 2 Corinthians 5:17-21; Ephesians 5:1-2; 1 Peter 2:24, 3:18)
We believe that all who receive by grace, through faith, the Lord Jesus Christ are born of the Holy Spirit and become children of God, and there is no other way of salvation but through Jesus. (John 1:12-14, 3:3, 5:24, 14:6; Galatians 4:4-7; Ephesians 2:8-10)
We believe in the personal, visible, and second coming of our Lord Jesus Christ, at a time unknown to us but for which we are eagerly anticipating. (Matthew 24:42-44; John 14:1-3; I Thessalonians 4:16-17; Hebrews 9:28; 2 Peter 3:10)
We believe that the redeemed will have eternal life with Christ Jesus while the lost will be separated from God in everlasting punishment. (Matthew 25:31-46; Acts 17:30-32; 1 Corinthians 15:52; 1 Thessalonians 4:16)
We believe that every believer is sanctified through the work of the Holy Spirit to pursue personal holiness. (1 Thessalonians 4:3-9; 1 Peter 15-16; 1 Corinthians 6:9-13; Ephesians 5:4-5)

Humanity

We believe that man was created in the image of God; that he sinned and incurred not only physical death, but also spiritual death which is separation from God; and that all human beings are born with a sinful nature, and become sinners in thought, word, and deed. (Genesis 1:26-27, 8:21; Psalm 51:5; Ecclesiastes 7:20; Colossians 3:6-10; Ephesians 2:2-3)
We believe that marriage is a sacred covenant before God and man between one man and one woman instituted by God from the beginning of Creation. (Genesis 2:18-24; Matthew 19:4-6; 1 Corinthians 7:1-16; Hebrews 13:4-7)
We believe that God is the creator of all life, and that every person is created in His image, and at the moment of conception, a new human life is created with a sovereignly-ordained sex of either male or female. (Genesis 1:27; Psalm 139:13-16; Jeremiah 1:5; Acts 17:25)

The Word of God

12. We believe the Scriptures of the Old and New Testament to be the Word of God, written by men under the inspiration of the Holy Spirit. The Word is inerrant, infallible, and sufficient in all manners of conduct. (Deuteronomy 6:4-6; Proverbs 30:5-6; 2 Timothy 3:15-17; 1 Peter 1:23-25)

The Work of Church

13. We believe that the Great Commission was given by the Lord to His church to disciple the world, and that sharing the Gospel is the great mission of the Church. (Matthew 28:16-20; Mark 16:15; John 20:21; Acts 1:8)

Have you read and can you agree, in its entirety with the faith statement above?

AgreeDisagree

If you selected disagree, please explain to what extent you disagree with the faith statement above.

C. Education

Undergraduate College:

Date of Completion:

Degree Earned & Concentration:

Graduate & Professional School:

Date of Completion:

Degree Earned & Concentration:

Other School (if applicable):

Date of Completion:

Degree Earned & Concentration:

D. Job Related Skills

Describe any specialized training or skills that would be relevant to the position:

State any additional information that may be helpful in considering your application:

E. Employment History

Most Recent Employer

Company Name:

Company Address:

Job Title:

Supervisor Name:

Contact Phone:

Job Duties:

Employed from:

Employed to:

Annual Salary/Hourly Rate:

Reason for Leaving:

Are you currently working for this employer?

YesNo

May we contact them?

YesNo

Second Most Recent Employer

Company Name:

Company Address:

Job Title:

Supervisor Name:

Contact Phone:

Job Duties:

Employed from:

Employed to:

Annual Salary/Hourly Rate:

Reason for Leaving:

Third Most Recent Employer

Company Name:

Company Address:

Job Title:

Supervisor Name:

Contact Phone:

Job Duties:

Employed from:

Employed to:

Annual Salary/Hourly Rate:

Reason for Leaving:

Applicant Resume:

Applicant Portfolio link (if applicable):

F. Faith Background

What Church do you attend, and are you a member?

What role does attending church play in your life?

When and how did you become a Christian?

Who is Jesus to you, and how does He impact your daily living?

Do you have any ministry or life experiences that you believe would enhance your role with Lifeline?

G. Personal References

Please list three references unrelated to you. These references should include a former employer/supervisor or professor, your pastor and a character reference.

Name:

Relationship:

Email Address:

Name:

Relationship:

Email Address:

Name:

Relationship:

Email Address:

H. Consent to Release Confidential Information

Full Name:

Maiden Name:

Please list all the states where you have resided in the past 5 years:

I. Applicant Note Certification & Dispute Resolution Agreement

Lifeline Children’s Services, Inc. is a faith-based, non-profit organization that exists to equip the Body of Christ to manifest the Gospel to vulnerable children. The Ministry is an equal opportunity employer and does not discriminate on the basis of race, color, sex, national origin, disability or age. Employment decisions are subject to the legitimate business requirements of the Ministry and are based on an individual’s qualifications, merit, and performance. As a religious organization, the Ministry is exempt from the prohibitions contained in Title VII of the Civil Rights Act of 1964, concerning religious discrimination in employment. All employees must adhere to our Statement of Faith. I have read and understand the above statements and agreements.

YesNo

By signing and submitting this application, I represent that I understand and agree with Lifeline's faith statement and that the information in this application is true and correct to the best of my knowledge. I further agree, as does Lifeline, to submit any dispute or legal claims that may arise between Lifeline and me to Christian mediation, and if necessary, binding arbitration in Shelby County, Alabama, through the Institute for Christian Conciliation for that entity's successor or assign. I understand that I AM WAIVING MY RIGHT TO A JURY TRIAL in favor of biblical dispute resolution, including mediation and arbitration. I have read and agree with the applicant note certification and process for dispute resolution as outlined in the link above

YesNo

Prospective Applicant Signature:

Today's Date