CCA EMPLOYMENT APPLICATION

CCA EMPLOYMENT APPLICATION
2455 Mt. Carmel Rd.
Hampton, GA 30228
770-961-9300
Please read the following statement prior to completing this application:
Creekside Christian Academy will only hire persons who have accepted Jesus Christ as Lord of their lives. We do not allow the usage of tobacco in any form, alcoholic beverages, drugs, or foul language on the premises. The lifestyle of personnel must not bring shame and reproach to God and/or the church. Please read all the enclosed information carefully. If after reading all the information, you still want to be considered for a position, complete the application and return to the above address.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name

First NameLast Name
Phone
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Number of years of education:
Grade school
High School
College
Graduate school
Other education
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
For what type of position are you applying?
What is your present occupation?
Are you especially trained or experienced in any trade or profession, including Christian work?
Do you have any special talents, musical abilities, or other areas of experience?
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Briefly give your testimony of how you came into a relationship with the Lord.
What activities/ministries of your church are you involved in?
Church affiliation
Children's name and ages & grades they would be going into:
TEN POINT STATEMENT OF FAΙΤΗ
1. We believe the Bible to be the inspired, the only infallible, authoritative, inerrant Word of God (II Timothy 3:15, II Peter 1:21).
2. We believe there is only one God, eternally existent in three persons - Father, Son and Holy Spirit (Genesis 1:1, Matthew 28:19, John 10:30).
3. We believe:
In the deity of Christ (John 10:33)
His virgin birth (Isaiah 7:14, Matthew 1:23, Luke 1:35)
His sinless life (Hebrews 4:15, Hebrews 7:26)
His miracles (John 2:11)
His vicarious and atoning death (I Corinthians 15:3, Ephesians 1:7, Hebrews 2:9)
His resurrection (John 11:25, I Corinthians 15:4)
His ascension to the right hand of the Father (Mark 16:19)
His personal return in power and glory (Acts 1:11, Revelation 10:11).
4. We believe in the absolute necessity of regeneration by the Holy Spirit for salvation because of the exceeding sinfulness of human nature, and that men are justified on the single ground of faith in the shed blood of Christ and that only by God's grace and through faith alone are we saved (John 3:16-19, John 5:24, Romans 3:23, Romans 5:8-9, Ephesians 2:8-10, Titus 3:5).
5. We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation (John 5:28-29).
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6. We believe in the spiritual unity of believers in our Lord Jesus Christ (Romans 8:9, I Corinthians 12:12-13, Galatians 3:26-28).
7. We believe in the present ministry of the Holy Spirit by Whose indwelling the Christian is enabled to live a godly life (Romans 8:13-14, I Corinthians 6:19-20, Ephesians 4:30, Ephesians 5:18).
8. We believe God created and sanctioned marriage to bring a man and a woman, the complementary halves of humanity, by joining them in "one flesh" unions. (Gen. 2:18-25) Marriage between one man and one woman for life uniquely reflects Christ's relationship with His church. (Eph. 5:22-23)
9. We believe gender matters. God wonderfully creates each person as male or female and these distinct, complementary genders together reflect the image and nature of God. (Gen. 1:26-27)
10. We believe that all human life is sacred and created by God in His image. Human life is of inestimable worth in all its dimensions, including pre-born babies, the aged, the physically or mentally challenged, and every other stage or condition from conception through natural death. We are, therefore, called to defend, protect and value all human life. (Ps. 139)
Are you willing to comply with Creekside Christian Academy's Ten Point Statement of Faith? (initial below)
CHRISTIAN LIFESTYLE COMMITMENT
Creekside Christian Academy requires every employee accept and follow a lifestyle commitment based upon Biblical principles. As a Christian School representing Jesus Christ in our community, we require employees to be born-again Christians and to live their lives as Christian role models. As Christian leaders on staff at CCA, we are expected to be Christ-like examples to students, parents, Administration, and one another. Employees must conduct themselves both on and off the job in a way that will not raise questions regarding their Christian testimonies. A Christian lifestyle should reflect the Biblical perspective of integrity and appropriate personal and family relationships, business conduct, and moral behavior. Moral misconduct as defined by Scripture violates the bona fide occupational requirement of employees being Christian role models. The following are non-negotiable issues regarding lifestyle. It is expected that:
- You are currently living in a marital relationship and are faithful to your spouse, or are single and not currently in a sexual relationship with someone whom you are not married, or in a cohabitating arrangement with someone that is not an immediate family member of the opposite sex or same sex.
- You are not currently practicing a homosexual or bisexual lifestyle.
- You abstain from the use of illegal drugs or the abuse of controlled substances, such as prescription or over-the-counter drugs.
- You abstain from viewing pornography online and pornographic materials in any form.
- Failure to abide by the CCA Alcohol and Drug-Free policy, constitutes grounds for disciplinary actions, not excluding termination.
Will you agree to commit to live within these expectations? (initial below)
In the ministry at CCA, staff and faculty are considered role models and ministers, whether at school or in their personal lives. With that in mind, are there any issues regarding the use of tobacco, intoxicants, drugs or any moral behavior that would not comply with our standards of conduct and beliefs?Type a question

EDUCATION (If you have not yet graduated, list degree pursuing and date anticipated)

Rows	Courses taken or Universities attended	Degree earned	Dates attended From To	Graduated
1
2
3

EMPLOYMENT EXPERIENCE (Last 3 years)
PLEASE LIST EMPLOYMENT HISTORY FOR THE PAST THREE YEARS, BEGINNING WITH YOUR MOST CURRENT OR LAST EMPLOYER. If you have been unemployed during any time within the past 3 years, list how you spent your time, e.g. student, housewife, unemployed, etc. If you need more space, please use separate employment record form.

EMPLOYMENT EXPERIENCE (Last 3 years)

Rows	Month/Year	Name & Address of Employer	Position	Reason for Leaving	Full/Part Time
Dates employed (from-to):
Dates employed (from-to):
Dates employed (from-to):
Dates employed (from-to):

Total number of years experience in position for which applying
Annual salary in most recent position
When will you be available to begin service?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you under contract for the ensuing year?
Have you attended/completed any childcare training courses?
Have you had CPR training within the past two years?
If yes, give expiration date:
Have you had First Aid training within the past two years?
If yes, give expiration date:
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EDUCATIONAL VALUES
Please answer the following questions:
1. What is your philosophy of Christian education?
2. Out of all the things that you could do at this time, what attracts you to Creekside Christian Academy and this specific opportunity?
3. How would you best describe your class management style?
4. What is the role of the church, the home, and the school in raising and preparing a child?
5. How do you know that God has called you to be a teacher?
TEACHING EXPERIENCE
Number of semester hours or quarter hours in Professional Educational Education courses (State which)
List in order of preference the subjects you are best qualified to teach
1.
2.
3.
Type of State Certificate (Held or anticipated)
Date of expiration

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Certificate valid in which state?
ACSI Certification?

TEACHING EXPERIENCE (Last 3 years)

Rows	Month/Year	Name & Address of School	Position or Subject	Grade Taught	Months in Service
From: To:
From: To:
From: To:
From: To:

PROFESSIONAL REFERENCES (Must include most recent employer or direct supervisor)

PROFESSIONAL REFERENCES (Must include most recent employer or direct supervisor)

Rows	Full Name	Position	Email Address/ Phone #
1.
2.
3.

Are there any references we should not contact?
PERSONAL REFERENCES (Must include a pastor of your church)

PERSONAL REFERENCES (Must include a pastor of your church)

Rows	Full Name	Relationship	Email Address/Phone #
1.
2.
3.

SECURITY:
Recognizing God's love and concern for children, Creekside Christian Academy has adopted a policy of screening ALL applicants for employment. The purpose of this policy is to promote a safe environment and to protect our students, as well as to guard the honor and reputation of Jesus Christ and His school. The following questions are designed to elicit the information necessary for this purpose. The information provided will be treated confidentially and will only be used by authorized staff in reviewing your application. All questions must be answered. If you answer "yes" to any of the following questions, please explain on a separate page. Your answers to any of these questions do NOT necessarily disqualify you from employment at Creekside Christian Academy.
Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor Traffic Violations)? The term "convicted" includes entering into a plea agreement including "no contest" pleas, or a deferred sentence or deferred judgment arrangement in connection with a criminal charge. If so, please attach a statement of explanation, including nature of offense, date, court where conviction was entered, sentence of disposition and any other relevant information.
Have you ever been the subject of an investigation of an allegation of physical abuse, sexual misconduct, sexual harassment or an offense relating to children, criminally charged, or been the subject of a civil lawsuit involving physical abuse, sexual misconduct, sexual harassment, or an offense relating to children?
Have you ever been subjected to discipline or dismissal from employment or volunteer service by any church, or other organization as the result of an allegation or charge of physical abuse, sexual harassment, or an offense relating to children?
If you answered "yes" to any of the above questions, please explain:

ACKNOWLEDGEMENT
I understand and agree that it is critical to the mission and ministry of Creekside Christian Academy that all employees conform to the highest standards of safety, interpersonal conduct and morality. I affirm that if hired, I will strictly comply with the policies and procedures of CCA, including those concerning child safety and protection. I understand and agree that failure by me to abide by such policies and procedures may result in immediate dismissal or disciplinary actions, all at the discretion of the school.
I understand that all offers of employment are conditioned on my providing satisfactory proof of my identity and legal authority to work in the United States.
I understand and agree that my employment can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of Creekside Christian Academy.
APPLICANT'S AUTHORIZATION
I understand that by signing this completed application, I am consenting and authorizing CCA to conduct a background investigation of me and the information provided in this application. I further acknowledge and understand that this investigation may include a Criminal Background Check, a Sex Offender's Background Check, and that I may be required to provide fingerprints and a photograph for this purpose.
APPLICANT'S CERTIFICATION
I certify that all information contained in this application and any attachment is true and correct to the best of my knowledge. I understand that any misrepresentation or material omission may result in my failure to receive an offer of employment or if I am hired, in my dismissal.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Creekside Christian Academy does not discriminate on the basis of gender, age, race, nationality, or origin.

Serving Families For Over 50yrs!

(770) 961-9300

creeksidechristian.academy

"Be Strong & Courageous..." Joshua 1:9
Background Check Consent Form
Creekside Christian Academy
2455 Mt. Carmel Rd, Hampton, GA 30228
770-961-9300
Applicant Information
Full Name:

First NameLast Name
Other Names Used:
DOB (MM/DD/YYYY):

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SSN:
Email:
example@example.com
Current Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Driver's License #:
State:
Consent & Authorization
I authorize Creekside Christian Academy and its agents to conduct a background check, which may include:
- Criminal history & sex offender registry
- Employment & education verification
- Motor vehicle & reference checks
I understand the information is confidential and used only to assess my suitability for involvement with the organization. I release all parties from liability related to the release or use of this information. This consent remains valid unless revoked in writing.
Signature:
Printed Name:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
For Office Use Only
Date Received:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reviewed By:
Background Check Completed On:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

CCA EMPLOYMENT APPLICATION

Number of years of education:

TEN POINT STATEMENT OF FAΙΤΗ

CHRISTIAN LIFESTYLE COMMITMENT

EMPLOYMENT EXPERIENCE (Last 3 years)

EDUCATIONAL VALUES

TEACHING EXPERIENCE

PROFESSIONAL REFERENCES (Must include most recent employer or direct supervisor)

PERSONAL REFERENCES (Must include a pastor of your church)

SECURITY:

ACKNOWLEDGEMENT

APPLICANT'S AUTHORIZATION

APPLICANT'S CERTIFICATION

Background Check Consent Form

Applicant Information

Consent & Authorization

For Office Use Only