Date of Application:

Please check the position(s) for which you are applying

Multilingual applicants please list languages spoken fluently.

Do you have legal right to accept employment in the United States?

If you answered "no" to the previous question, have you applied for work authorization?

How did you learn about this position?

Name (First, Middle, Last)

Other names which may appear on application materials

Current Address

Current City, State, Zip

Permanent Address (if different from above)

Permanent City, State, Zip

Home Phone Number

Cell Phone Number

Church Membership (Name of Church and Denomination)

Pastor

Length of Membership

Areas of church involvement

Please check the area(s) in which you are endorsed or qualified to teach

Specialist Areas or Subject Areas

Please supply information about your education for each school attended

School name, School address, Degree, Start Date, End Date, Major, Minor, GPA

Please supply information about your certification/licensure

State, Type, Area of Endorsement, Certification Number and Expiration Date

Please supply information about your student teaching experience

School name and address, Dates from/to, Grade Level and Subject, Cooperating Teacher, Phone Number

Please supply information about your teaching experience (list most recent first)

School name and location, Dates from/to, Grade Level and Subject, Principal, Phone Number, Salary

Are you currently under contract?

If yes, where or you contracted and until when?

Please supply information about your employment other than teaching (list most recent first)

Employer and address, Dates from/to, Position/Duties, Supervisor, Phone Number

Clubs and/or activities you could direct or supervise

Sports for which you are trained and/or qualified to coach

Personal hobbies and interests

Have you ever been convicted of, admitted convicting, or are awaiting trial for any crime (excluding only minor traffic violations not involving any allegation of drug or alcohol impairment)?

Have you ever been dismissed (fired) from any job, or resigned at the request of your employer, or while charges against you or an investigation of your behavior was pending?

Have you ever had any license or certificate of any kind (teaching certificate or otherwise) revoked or suspended, or have you in any way been sanctioned by, or is any charge or complaint now pending against you before any licensing, certification or other regulatory agency or body, public or private?

Are you now being investigated for any alleged misconduct or other alleged grounds for discipline by licensing, certification or other regulatory body (teacher certification or otherwise) or by your current or any previous employer?

If any of the above statements have been answered "yes," please explain.  (Conviction of a crime is not an automatic bar to employment.  The nature of the offense, the date of the offense, and the relationship between the offense and the position applied for will be considered.)

Please tell us who will be writing your two letters of professional recommendation from teaching supervisors.   Name, phone, and e-mail for each supervisor.

Please tell us who will be writing your two letters of personal reference.  Name, phone, and e-mail for each person.

Why do you wish to teach in a Christian school?

(If applying for guidance or administration position answer for the appropriate position)

What is your personal relationship to Jesus Christ?

Please describe and give examples of your strengths that will complement the school level setting for which you are applying.

What makes a master teacher?

When students leave your classroom (or office/school) at the end of the year, what do you hope they will take with them?