Staff/ Teacher Application Form

Your interest in Cornerstone Christian School is appreciated. We invite you to complete this application to the best of your ability. To help us evaluate your qualifications, please include your resume, letters of reference, and placement file if available. If we have continued interest in your candidacy, we will contact your references and may arrange for a personal interview.

We realize that the key to a successful Christian school is its staff. We are seeking applicants who are professionally qualified, genuinely love children, and who, by the pattern of their lives, are born-again Christian role models (Luke 6:40). It is our prayer that God will fulfill his perfect will for our school and in the lives of all applicants.To give equal employment and advancement opportunities to all people, employment decisions at CCS are based on each person’s performance, qualifications, and abilities. CCS prohibits discrimination on the basis of race, color, sex, national origin, age, pregnancy, disability, or veteran status. As a faith-based institution, the school reserves the right to use religion as a hiring and evaluation criterion, as permitted by law and consistent with the mission of the institution.

Position for which you are applying*

Full Name*

First NameMiddle NameLast Name

Home Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Cell Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Work Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you authorized to work in the US?*

YesNo

Are you certified to teach?*

YesNo

If you are certified to teach, please include the type of certification and number, state or organization, subject(s), grades certified in, and expiration date.

Highest Level of Education Obtained

College Name

Graduated?

YesNo

Years Attended

Degree/Major

College Name

Graduated?

YesNo

Years Attended

Degree/Major

Current Position

Current Employer

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

May we contact your supervisor for a reference?

YesNo

Please describe responsibilities

Previous Position

Previous Employer

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

May we contact your supervisor for a reference?

YesNo

Responsibilities:

Please describe any other experience or information you would like to share which would be relevant to the job for which you are applying.

Please list four individuals who are very familiar with your professional work and character who may be contacted. Please include their name, position, business phone, home or cell phone, and address.

References

Why are you seeking a position at Cornerstone Christian School?

What do you believe are the benefits of a Christian school for students and their families?

Please summarize any additional information that you would like to present regarding your candidacy for the position.

BACKGROUND INFORMATION

Are you, or have you ever been, listed on a sex offender registry?

YesNo

Are you, or have you ever been, listed on a child or dependant adult abuse registry?

YesNo

Have you ever been found guilty, accepted a guilty, or entered a plea of no-contest for any criminal charge?

YesNo

Have you ever received a deferred judgment, or in some other way had a guilty plea or conviction removed from your record?

YesNo

If you answered “yes” to any of the above questions, provide date, incident, specific charge, city/state in which occurred:

Have you ever been asked to resign from a position, or been given the choice of resigning or being terminated from your position?

YesNo

Have you ever been the subject of an investigation or other formal/informal proceeding that resulted in the termination of your employment or resignation?

YesNo

Have you ever been the subject of an investigation into wrong doing or other formal/informal proceeding, resulting in disciplinary or criminal action?

YesNo

Briefly explain any “yes” response(s):

Responding "yes" to any of the previous questions is not an automatic bar to employment. The date of the offense and the relationship between the offense or infraction and the position for which you are applying will be considered.

Are you able to perform with or without reasonable accommodation, the essential job functions required of the position?*

YesNo

Current Church*

Pastor*

Length of Time at this Church

Denomination

Are you active in your church? In what capacity?

Please give your brief Christian testimony. Describe your current relationship with the Lord and how this relationship impacts your life.*

How would you explain salvation to a student?

Full Name

Relationship

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Church

* We believe that there is one God, creator and sustainer of all things, eternally existent in three Persons: Father, Son and Holy Spirit. (Deut 6:4; Matt. 28:19)

* We believe in the deity of Jesus Christ, in His virgin birth, in His sinless life, in His miracle-working power, in His vicarious and atoning death, in His resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory. (John 1:1; Matt. 26:63-64; Heb. 4:14-16)

* We believe in the divine inspiration of the Bible, our all-sufficient rule of faith and conduct. (II Tim. 3:15-17; Heb. 4:12, II Peter 1:20,21)

* We believe in the necessity of the rebirth of man and in his consequent salvation from spiritual death and hell through repentance and acceptance of Jesus Christ as Savior. (John 3:1-7, I6; John 5:11-12; Rom. 10:9-10; Heb. 4:14-15)

* We believe that the observable evidence of the new birth: the inward evidence being the direct witness of the Holy Spirit and the outward evidence being a life of holiness and love of God and Man. (Rom. 8:16; I Peter 1:15-16; Matt. 22:36-40)

* We believe in the spiritual unity of believers in Christ, and the resurrection of the saved unto eternal life only through Jesus Christ. (John 17:20-23; Eph. 4:1-4; I Cor. 15; John 5:28-29; II Cor. 5:10; Rev. 20:11-15)

Do you agree with Cornerstone Christian School's Statement of Faith?*

YesNo

AGREEMENT (Read carefully before signing or submitting electronically)

By my signature:

• I acknowledge that individuals who provide false, inaccurate, or incomplete information in the application form, in an interview, or any other part of the hiring process or who fail to disclose information requested in the application form, in an interview, or any other part of the hiring process will not be eligible for employment, or, if they are hired, they will be subject to termination.

• I acknowledge that to the fullest extent permitted by state and federal law, the District will consider all information concerning an applicant or an employee in making hiring, termination, and other employment-related decisions. The term "all information" includes information of any kind (verbal, written, photographic, videographic, etc.) that is accessible in any medium (print, electronic, etc.) from any source.

• I acknowledge that the Board will consider public information and other information to which it has lawful access. This may include information that is contained in social networking sites, blogs, and other electronic sites, such as YouTube. If there is information that pertains to me that I believe requires explanation, interpretation, or clarification when it is considered, it is my obligation to communicate this information.

• I authorize the Cornerstone Christian School to conduct a complete check regarding my background including, but not limited to, criminal record, child and dependent adult abuse registry screening, and sex offender registry. I agree to prepare and sign any other form necessary to complete a criminal background check. I further authorize all government agencies departments, bureaus, or related entities to release any and all information regarding my criminal history, if any. I agree to immediately notify the District if I should be convicted of any crime while my application is pending, or during my period of employment if hired.

• I authorize all current and former employers, teachers, and references to release all information regarding my professional competence, performance, character, and background. I waive any right I may have against any person contacted as a reference concerning this application.

• I acknowledge that information that is relevant to the Board's decisions will be considered regardless of the date on which the District obtains the information and regardless of the date on which the information was first published, created, or made accessible to the District.

• I understand that this application is not a contract of employment. In accepting the position, if hired, I understand that employment is at will unless otherwise specified by the Code of Iowa. I acknowledge that the District may discharge an at-will employee at any time for any legal reason or no reason at all.

By my electronic submission of this form:

• I attest that all the information contained in this application is accurate, complete, and true.

• I am bound by all elements of the agreement section of the application.

• I understand and accept that electronic submission will be considered equivalent to an original hand written signature on a paper copy of the application.

Name

First NameLast Name

Date

Signature*

Email*

example@example.com

Please provide an updated resume to your application.

Cornerstone Christian School Staff Application

Personal Information

Education and Experience

Current/Previous Employment

General Information

Christian Background

Pastor or Church Leader Reference

Statement of Faith