LOUISIANA CHRISTIAN UNIVERSITY APPLICATION FOR EMPLOYMENT NAME: TELEPHONE NUM: Office ( ) Residence: ( ) ADDRESS: CITY: STATE: ZIP E-MAIL ADDRESS: Cell Phone: ( ) PRESENT EMPLOYMENT: Position : Years in present position: ( to ) POSITION SOUGHT: SALARY RANGE: EDUCATION : College Address: City and State Degree and Date Received Major -Minor Dates Attended and Ended TEACHING EXPERIENCE: School or College Address: City and State Dates Employed: (Attach a supplementary sheet describing specific courses/areas or responsibilities for each position.) OTHER EMPLOYMENT: Employer : Position: Date: to Employer : Position: Date: to Employer : Position: Date: to HONORS & AWARDS: Where: When: PUBLICATIONS: (Title, Publisher or Publication, Date) CHURCH AFFILIATION: Name and Address of Church: Name and Address of Pastor: Recent Church Activities: Please record any special project or programs in which you have participated. NOTICE: In compliance with federal law, including provisions of Title IX of the Education Amendments of 1972 and Section 504 of The Rehabilitation Act of 1973, Louisiana Christian University provides equal employment opportunities to all employees and applicants for employment and prohibits unlawful discrimination without regard to race, color, age, sex, national origin, disability status, genetics, protected veteran status or any other characteristic protected by federal, state, or local law. I certify that to the best of my knowledge, the information contained in this application for employment is true and correct. I understand that knowingly stating false information in this application for employment may be grounds for immediate termination of employment by Louisiana Christian University. Signature of Applicant: Please email completed form to academicaffairs@l cuniversity .edu.
