Application for Employment

Name: Last
Name: First
Middle Initial
Maiden
Address

Address

Street Address Line 2

CityState

Zip
Date of Birth

MonthDayYear
Date
Email Address
example@example.com
Are you legally entitled to work in the US?

YESNO
Have you ever been convicted of a felony?

YESNO
If yes, explain.

Education

	Type of School	Name of School	Location	Major/Degree
High School
College
Other

How did you hear about this position?
Position Desired: First Choice
Position Desired: Second Choice
References: Please list 2-3 references, including at least one professional and one personal reference.
Relationship
Name
Position
Company
Email
example@example.com
Relationship
Name
Position
Company
Email
example@example.com
Reference 3
Relationship
Name
Position
Company
Email
example@example.com
Teaching Experience or Experience in Educational Settings (paid or volunteer)
Position
Employer/Program
Dates

MonthDayYear
Date
City
Reason for leaving
Position
State
Employer/Program
City
Dates

MonthDayYear
Date
Reason for leaving
City
Position
State
Employer/Program
Dates

MonthDayYear
Date
Position
City
State
Employer/Program
Reason for leaving
Dates

MonthDayYear
Date
List any other teaching credentials, experience, areas of educational interest or degrees you interested in pursuing.
What is your experience with and/or knowledge of Charlotte Mason's philosophy of education and methodology?
Please describe your teaching style.
Please describe your experience working with children and families.
Please describe your experience working with children with learning differences and/or special needs.
Please describe any musical or artistic abilities handcraft skills or technological skills that you possess.
How has faith changed your life over the years? What role does faith play in your daily life?
What personal and professional skills do you bring to the classroom?
Describe your reading interests. What books have most influenced you? What have you read in the last year?
What are your hopes/expectations of Hill Academy for yourself and for its students?
OPTIONAL PERSONAL INFORMATION: Leave blank if you do not wish to answer.
Marital Status
Children: ages and gender
STATEMENT OF FAITH
I have read the Hill Academy Statement of Faith as it appears on the school website and agree without reservation.

YesNo
I have read the Hill Academy Statement of Faith as it appears on the school website and have reservations.

YesNo
Please list the reservations below:
EDUCATIONAL CONVICTIONS
I have read the Hill Academy Mission Statement as it appears on the school website and agree without reservation.

YesNo
I have read the Hill Academy Mission Statement as it appears on the school website and have reservations.

YesNo
Please list the reservations below:
APPLICANT RELEASE AND ACKNOWLEDGEMENT
I understand that Hill Academy requires certain information about me to evaluate my qualifications for employment. Therefore, I authorize Hill Academy to conduct all required background checks and investigate my past employment, educational credentials, and other employment-related activities.

I understand that any false answers or statements made by me on this application may be grounds for refusal of employment, invalidate my employment or, if employed, will be sufficient grounds for immediate discharge and render me ineligible for any benefits.
Printed Name
Date

MonthDayYear
Date
Signature

Clear
Hill Academy's admissions and employment policies are without regard to race, sex, age, disability, or any other legally protected classification.
Should be Empty:

STATEMENT OF FAITH

EDUCATIONAL CONVICTIONS

APPLICANT RELEASE AND ACKNOWLEDGEMENT