Teaching Position Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
List, in order of preference, the grades, subjects and/or positions for which you are applying:
#1
#2
#3
Date available for employment
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Certification
List all areas in which you hold valid Pennsylvania and/or out-of-state teaching certificates.
Training and Certifications - List any areas in which you hold certification related to Advancement.
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If you are not employed, are you interested in being placed on our substitute list?
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Yes
No
Education/Experience
Educational Background - present or most recent first, including high school
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Resume (please include experience) and Files
*
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of
Student or Practice Teaching
STUDENT TEACHING REFERENCES: Please attach photocopies of letters of reference and/or evaluations from college/university student teacher supervisor and cooperating teacher(s).
*
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of
Other Qualifications - summarize special job-related skills and qualifications acquired from employment or other experiences and/or state any additional information you feel may be helpful in considering your application, i.e. honors, activities, technology skills, or professional development activities:
Faith Perspective
Please list the church you attend
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Are you a member?
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Yes
No
Denomination
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Personal Questions
Are you familiar with the Confession of Faith from a Mennonite Perspective?
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Yes
No
Do you support this confession?
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Yes
No
How would your teaching at Dock Mennonite Academy be related to or expressive of your Christian faith?
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Describe the ways you have personally participated in your congregation and church-related programs.
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An early Anabaptist said, “One who knows Christ truly will follow him daily in life.” What does that mean for you? How would you teach these values?
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What provides you the greatest pleasure in teaching?
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If appointed, would you be willing be guided by the board of trustees and the administration of the school?
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Relate one significant moment in teaching.
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ESSAY - We are interested in your ability to organize and express thoughts on a specific topic in a succinct manner. Please select ONE of the following topics and write an essay.
1. The Most Important Qualities of an Outstanding Educator.
2. My Philosophy of Student Discipline.
3. The Importance of Continuing Professional Development and how I Plan to Incorporate it Throughout My Career.
4. Essential Elements of Instruction, Administration or Area of Certification.
5. How Information Technology can be Integrated into the Instructional Process and Curriculum.
General Background Information
Were you ever convicted of a criminal offense?
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Yes
No
Are you currently under charges for a criminal offense?
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Yes
No
Have you ever forfeited bond or collateral in connection with a criminal offense?
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Yes
No
Within the last 10 years, have you been fired from any job for any reason?
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Yes
No
Within the last 10 years, have you quit a job after being notified that you were being fired?
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Yes
No
Have you ever been professionally disciplined in any state?
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Yes
No
Are you subject to any visa or immigration status which would prevent lawful employment?
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Yes
No
If you answered yes to any of the questions above, please provide an explanation:
References
Please list four (4) references that are familiar with your work life. References could include superintendents, principals, professors, or one pastor who may have first-hand knowledge of your professional competence and your personal qualifications. If any person(s) listed should not be contacted for reference at the present time, please indicate that in the notes section.
Reference
Reference
Reference
Reference
CERTIFICATION AND RELEASE AUTHORIZATION
I certify that all of the statements made by me are true, complete and correct to the best of my knowledge and belief, and are made in good faith. I further certify that I am the sole author of the essay. I understand that any misrepresentation of information shall be sufficient cause for: (1) rejecting my candidacy, (2) withdrawing of any offer of employment, or (3) terminating my employment. I hereby authorize any and all of my previous employers and/or supervisors to release any and all of my personnel records, and to respond fully and completely to all questions that officials of Dock Mennonite Academy may ask regarding my prior work history and performance. I will hold such previous employers and/or supervisors harmless of any and all claims that I might otherwise have against them with regard to statements made to this school district. I further authorize these officials to investigate my background, now or in the future, to verify the information provided and release from liability all persons and/or entities supplying information regarding my background. However, I do not authorize the production of medical records or other information which would tend to actually identify a disability nor do I authorize inquiries which would include information related to any medical condition or medical history. Further, I do not waive any rights which I may have under state or federal law related to my right to challenge the disclosure of unlawful or inaccurate information, whether by the school district or by entities or persons providing such information to the school district, including any and all claims concerning allegations of employment discrimination because of race, color, sex, religion, national origin, ancestry, age or disability.
Signature
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