Personal Information

First name

Last name

Birthday

Phone

Country/Region

Address

City

Zip / Postal code

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Job Skills & Training

Position for which you are applying:

Training/Certifications/Degrees (Include dates and names of institutions from which you received training):

In what areas do you feel qualified to work? In what school activities/clubs could/would you be willing to sponsor or assist?

Give any additional experience you have had in the education or care of children:

Please share your educational philosophy:

Spiritual Information

Name of church currently attending

Pastor's Name

Have you accepted Jesus Christ as your personal Lord and Savior?

Yes

Please comment on the Lord's leading your life toward working in a Christian school:

Please share your statement of faith:

Legal

Have you ever been charged or arrested for a misdemeanor or felony?

Yes

Would you be willing to submit to a background check?

Yes

References

Please list three (3) references. One must be a current or past employer, and one must be a current or past pastor.

Reference 1

Referral 1 First and Last Name

Phone

Address

Years Known

Reference 2

Referral 2 First and Last Name

Phone

Address

Years Known

Reference 3

Referral 3 First and Last Name

Phone

Address

Years Known

Elizabethtown Christian Academy selects qualified persons for employment without regard to race, sex, or national origin, but does, however, reserve the right to use established selection criteria in support of its goals and objectives. All information submitted will be held in confidence.

I hereby state that all information on this application and presented by me in the application process is true and correct. Please sign.*

Signature