Teacher Application Form

Position for which you are applying (You may click more then one)*

6th Grade ELA Honors6th Grade Math Honors6th Grade Social Studies Honors6th Grade Science Honors7th Grade ELA Honors7th Grade Geometry Honors7th Grade Social Studies (Geography) Honors7th Grade Science Honors8th Grade English I8th Grade Algebra I Honors8th Grade Social Studies (SC History) Honors8th Grade Science HonorsHigh School English IIHigh School English IIIHigh School Algebra II/ Pre-calculusHigh School Social StudiesHigh School Physical Science/BiologyPhysical Education - Middle School/High SchoolArt - Middle School/High SchoolForeign Language - Middle School/High SchoolDance Major Lead TeacherPre-Medical Major Lead TeacherLaw and Global Major Politics Lead TeacherEngineering Major Lead TeacherEntertainment and Digital Technology Lead TeacherAdministrative AssistanceGuidance CounselorAssistant PrincipalCustodianBookkepperOther

Full Name*

First NameMiddle NameLast Name

Home Phone Number

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Cell Phone Number

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Email

example@example.com

High School Name

Years Attended

Graduated?

YesNo

College Name

Degree/Major

Years Attended

Graduated?

YesNo

Teaching Experience

Please include dates employed, Employer name, address and phone number, Position, Salary, Wage, Supervisor's name and phone number, and your reason for leaving.

Most recent position

Second most recent position (If applicable, if not put N/A)

Third most recent position (If applicable, if not put N/A)

Please explain any gaps in employment

Other Relevant Experience

Please list any other experience you have, including dates, employer name address and phone number, position, salary, supervisor's name and phone number, and reason for leaving.

Experience #1

Experience #2

Experience #3

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.

Full Name

First NameMiddle NameLast Name

In what capacity do you know them?

Phone Number

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Email

example@example.com

Full Name

First NameMiddle NameLast Name

In what capacity do you know them?

References Upload (if you have them on a document)

Phone Number

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Email

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In the field below, please respond to each of the following questions:

1. Why do you want to be a teacher for The Myrtle Beach STEM Academy (MBSA)?

2. What experience do you have specific to the position you are applying for and how would you use that experience to be a success at The Myrtle Beach STEM Academy?

3. Describe your greatest accomplishments as an educator.

Narrative Response

List degrees, honors, commendations, elective or appointive offices held, or other distinctions received.

HONORS AND DISTINCTIONS

CV Upload

Teaching License Upload

College or University Transcripts Upload (Only if you do not hold a current/active teaching certificate

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

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 legally eligible to work in the United States?

YesNo

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

YesNo

Do you wish to be considered for veteran’s preference?

YesNo

IF YES, PLEASE FILL OUT NEXT SECTION

Military Duty

Active Duty

(mm / yy)

To

(mm / yy)

Branch

Location of Duty

Rank at Discharge

Type of Discharge

Reserve Duty

(mm / yy)

To

(mm / yy)

Branch

Obligation

Times of Current Training Day

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, MBSA 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 MBSA 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 by MBSA, it is my obligation to communicate this information to MBSA.

• I authorize MBSA 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 MBSA 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 MBSA's decisions will be considered regardless of the date on which MBSA obtains the information and regardless of the date on which the information was first published, created, or made accessible to MBSA.

• I understand that this application will be considered active for twelve (12) months from the date filed. I further understand that if I am employed by The Myrtle Beach STEM Academy (MBSA), this application and associated documents will become part of my permanent record.

• 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 South Carolina. I acknowledge that MBSA may discharge an at-will employee at any time for any legal reason or no reason at all.

• I agree to submit to both pre-employment and post-employment random drug and alcohol testing. (Note: This only applies to Bus Drivers)

Do you currently hold a valid Teachers License with appropriate endorsement for the position you are applying for?

YesNo

Please list your endorsements:

Are you currently under contract for any school district next year?

YesNo

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

All applicants that are considered for an interview or employment must include and be aware of:

Applicants, and/or their designees, are asked not to contact members of the Board of Directors during this search process.

Screening for this position will continue until the position is filled.

In order to be considered for this position, your application materials must include the following:

a. A letter of application

b. Completed application form (including signatures)

c. Resume

d. At least two or more recent letters of recommendation regarding your professional work

e. A copy of a current teachers license and endorsements, hold a Bachelor’s degree or higher from an accredited college or university and possess appropriate South Carolina certification. Additional professional and personal qualifications may be required to ensure successful fulfillment of assigned responsibilities.

f. Photocopy of college/university transcripts

For further information contact:

Mr. Jayson Powers

Head Principal

Phone: 843-855-8534

Email: jpowers@myrtlebeachstemacademy.com

The Myrtle Beach STEM Academy (MBSA) Leadership and Planning Committee/Board will select for employment qualified applicants for each position without improper discrimination on the basis of race, color, creed, religion, sex, sexual orientation, gender identity, national origin, ethnic background, age, or disability. Persons with disabilities who can perform the essential functions of an assignment with or without reasonable accommodation shall be considered qualified applicants. MBSA shall take affirmative action in the recruitment, appointment, assignment and advancement of personnel to accomplish the goals of equal employment opportunity. In keeping with the law, the District shall consider the veteran status of applicants.

Supervisor: Building Principal or other appropriate School Administrator
Terms of Employment: 180 Days

Job Summary:
Position requires the planning, organization, and implementation of the appropriate instructional program to address the learning needs of the students; to guide and encourage students to develop and fulfill their potential in both curricular and extracurricular activities.

Essential Duties:

1. Plan, prepare and deliver instructional activities that facilitate active learning experiences.

2. Develop lesson plans.

3. Establish and communicate clear objectives for all learning activities.

4. Prepare the classroom for class activities.

5. Provide a variety of learning materials and resources for use in educational activities.

6. Identify and utilize different instructional resources and methods to support the learning needs of students at varying levels of progress.

7. Instruct and monitor students in the use of learning materials and equipment.

8. Provide for the care and protection of school property.

9. Use relevant technology to support instruction.

10. Observe and evaluate student performance and development.

11. Assign and grade class work, homework, tests, and assignments as appropriate.

12. Provide appropriate feedback on student work.

13. Monitor and encourage individual student progress.

14. Provide guidance to students which will promote educational development.

15. Maintain accurate and complete records of student progress and development.

16. Update records accurately and completely as required by laws and district policies.

17. Prepare required reports on students and activities.

18. Manage student behavior and maintain discipline by establishing classroom rules and procedures and enforcing classroom, and school, rules and procedures.

19. Participate in department, school, and district meetings and professional development activities as appropriate.

20. Stay current with most recent developments in appropriate subject area(s) as initiated by the school or district.

21. Cooperate with and participate in the planning, implementation, and evaluation of the total school program.

22. Foster and maintain effective communication with parents and/or guardians.

Other Duties
Perform other tasks and responsibilities as assigned by the Principal or other appropriate administrator

Job Specifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Requirements & Work Environment:
The physical demands and work environment described are representative of those required to successfully perform the essential functions of this position. The employee must be able to sit, stand, walk, reach, stoop, kneel, crouch, and safely respond to students’ behavioral needs. The role requires sufficient mobility to ensure student safety, the ability to lift or move up to 40 pounds, manual dexterity for data entry and phone use, and the ability to read, hear, and speak effectively in person and by telephone, with or without reasonable accommodations. Duties are primarily performed in a school or classroom setting, with occasional work in community-based environments or on school-related trips. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive, and the school reserves the right to modify duties as needed.

Teacher Application

Personal Information

References