CA Teacher Application Form

Teacher Application
Name:

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Phone Number:

Area CodePhone Number
E-mail Address:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What grade(s) are you interested in teaching?
What subject(s) are you interested in teaching?

Other
What hours are you available?

Other
I understand that positions at Chapin Academy are part time on Tuesday and Thursday only and are paid hourly.
I understand that middle and high school positions are hired per subject/course and paid hourly.
Would you require childcare? (3 and under) Afternoon childcare, if available, is paid directly to nursery worker by parent.
Provided no charge 8:00-12:00
If yes, list ages of your children?
Education Background & Experience
Name of college attended...
Degree (Major)..
Name of present employer if applicable...
List your teaching experience:
Training or Certifications:
List any activities or sports you have previously supervised or coached ...
Hobbies and Interests...
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Christian Background
Church you currently attend:
Pastor Reference:
Name
Phone Number

Area CodePhone Number
Explain your relationship with Jesus Christ...
How do you plan to integrate a Biblical worldview into your classroom...
What is your philosophy of disciplining children..
Please Attach A Resume If Available:

Cancelof
Should be Empty:

Teacher Application

Education Background & Experience

References

Reference 1

Reference 2

Christian Background