TEACHER APPLICATION Hillcrest Christian School 384 Erbes Road Thousand Oaks, CA (805) Last Name: First: Initial: Date:

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1 TEACHER APPLICATION Hillcrest Christian School 384 Erbes Road Thousand Oaks, CA (805) Your interest in Hillcrest Christian School is appreciated. We invite you to fill out this initial application and return it to our school office. If an opening occurs for which it appears you may be qualified, we will contact your references and arrange for a personal interview. We realize that the key to a successful Christian school is its staff. We are grateful for those who are professionally qualified, who have been called by God to teach children, and who, by the pattern of their lives, are Christian role models Luke 6:40. We look forward to receiving your initial application. Thank you for your interest in the ministry of our school. It is our prayer that God will fulfill His Perfect Will in the lives of all applicants. Personal Information Last Name: First: Initial: Date: Other Name(s) Used: Home #: ( ) Address: Business #: ( ) City: Zip: Cell #: ( ) Have you ever been interviewed by HCS or its If yes, list date(s), job title(s) & location(s) affiliates before? Yes No Have you ever been employed by HCS or its If yes, list date(s), job title(s) & location(s) affiliates before? Yes No Do you have or have ever had any relatives employed If yes, list date(s), job title(s) & location(s) by HCS or its affiliates? Yes No Are you at least 18 years old? Yes No If under 18, do you have a work permit? Yes No Christian Background I believe the Bible to be the only inspired and infallible Word of God, and our final authority in all matters of faith, truth, and conduct. Yes No I have accepted Jesus Christ as my Personal Savior. Yes No On separate paper please answer the following questions. 1. Please describe your personal Christian testimony. 2. Please describe other significant milestones in your Christian growth. 3. Please describe your personal Bible study/prayer/devotional time. Church affiliation: Denominational preference: Address: Pastor: Are you a member? Yes No Regular attendee? Yes No For how many years? - teacher.doc 4/25/05 1

2 4. Please describe what church or community activities you are involved in and with what degree of regularity. Education Information High School: College/University: College/University: School Address Major Studies Vocational, Business, Other Teacher Credential Yes No Expires: List any professional designations: Do you type? Yes No If yes, WPM: ACSI Certificate Yes No Degree, Diploma, License or Certificate Expires: Computer Skills (Hardware/Software): *Please attach copies of all transcripts, credentials, degrees, diplomas, licenses or certificates to your application. If you have a placement file please have a copy sent to Hillcrest Christian School. Preschool Positions: If you do not have a Certificate or Degree in Early Childhood Education, please list all completed ECE courses. Year School Course Title Units (Please list additional courses on separate paper) Please list below any ECE courses you are currently enrolled in. School Course Title Units Teacher Classroom Practices Please list any ages/grades you would rather not teach? Check all curriculums you are familiar with or have taught: A Beka Bob Jones ACSI Spelling Addison Wesley Math Houghton Mifflin Other: Curriculum Preferences: Are you capable of teaching Bible lessons? On separate paper please answer the following questions. 1. Please describe your philosophy of student discipline and methods that have been effective for you. 2. Please describe your teaching style and how you motivate students to learn. 3. What do you believe are your greatest strengths and weaknesses as a teacher? 4. Please describe a successful lesson or unit that you have recently designed and implemented. Include - teacher.doc 4/25/05 2

3 grade level, strengths and weaknesses of the unit. Employment Information How did you learn about the position for which you are applying? Desired Position: Date available for work: Type of Employment: Full Time Part Time Most recent salary: $ Please carefully read our Statement of Faith and indicate below your degree of support. I fully support the Statement as written without mental reservations. I support the Statement except for the area(s) listed and explained on separate paper. On separate paper please answer the following questions. 1. Why do you want to work in a Christian School? 2. What does a Christian worldview mean to you? 3. What are your long-range professional goals? 4. What books or publications have you read that have helped you grow professionally? 5. What are your hobbies and personal interests? 6. Please list any activities, sports, hobbies, or special interests that you would be willing to direct, sponsor or coach. Indicate the grade or ability levels. 7. Please summarize any additional information, experiences, skills or qualifications you possess, which you would like to present regarding your candidacy for this position. References Give references, especially administrators for whom you have taught/co-workers who have first hand knowledge of your qualifications. All references must have phone numbers included. Do not list relatives. Name Phone # Years Known Relationship Letters of Reference Submit at least three letters of reference as follows: 1. From your pastor or spiritual leader/advisor 2. From a colleague (someone you currently teach or work with) 3. From your current administrator or manager (may be delayed to protect your job status, if necessary). Employment History List all employments for the past 10 years, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information. Employed From: Employer Name: Supervisor Name: Starting Salary: - teacher.doc 4/25/05 3

4 Employed From: Employer Name: Supervisor Name: Starting Salary: Employed From: Employer Name: Supervisor Name: Starting Salary: Employed From: Employer Name: Supervisor Name: Starting Salary: General Information Yes No Have you read the job description? Will you be able to perform the essential job functions for the position you are applying for with or without reasonable accommodation? If hired, would you be able to work all the hours necessary to complete all job requirements? If hired, would you be able to show proof of authorization to work in the United States? Do you have a currently valid, unrestricted CA driver s license? Have you ever been convicted of any crime or felony? If yes, explain Are you currently out on bail or released on your own recognizance pending trial for a criminal offense? If yes, explain. Have you ever been dismissed, resigned to avoid being dismissed, or been asked to resign from a position? If yes, please explain. - teacher.doc 4/25/05 4

5 Certification & Authorization I understand that Hillcrest Christian School does not discriminate in its employment practices against any qualified applicants because of race, color, national origin, ancestry, sex, pregnancy, age, marital status, veteran status, physical or mental disability. I hereby certify that the above information is true and correct. I understand that the hiring process will be terminated, or in the event of my employment by HCS, I shall be subject to dismissal, if any information that I have given in this application, the background release form, in any resume or interview or any part of the hiring process is false or misleading or if I have failed to give any information herein requested, or if I have withheld relevant information, regardless of the time elapsed after discovery. I authorize HCS to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to HCS and will hold HCS and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize HCS to obtain any credit and consumer check. I understand that nothing in this employment application, the granting of an interview or my subsequent employment with HCS is intended to create an employment contract between HCS and myself. If hired, I further understand and agree that my employment and compensation can be terminated at will, with or without notice, for any or for no reason, and with or without cause, at any time, either at my option or at the option of HCS. I understand that no employee or representative of HCS, other than the Head of School, has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. This at-will nature of employment cannot be changed, modified, amended, or rescinded except by an individual written employment agreement signed the Head of School and me. I agree that this sets forth the entire agreement with respect to the at-will nature of my employment relationship and that there are no oral, written, or collateral agreements regarding this issue. If employed, I will be required to provide original documents, which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of The document(s) provided will be used for completion of Form I-9. Since I will be working with children, I understand that I must submit to a Live Scan fingerprint check by the FBI and possibly other federal and state authorities. I agree to fully cooperate in going to the correct office to accommodate such a requirement. I hereby acknowledge that I have read, understand and agree to the above statements. Signature of Applicant Date For Official Use Only: Date received application: Interviewed by: Date Interviewed: - teacher.doc 4/25/05 5

6 Hired Applicant: Yes No Date Hired: Comments: - teacher.doc 4/25/05 6