Principal Application Form

Principal Application Form

Catholic Independent Schools Diocese of Prince George: 6500 Southridge Ave, Prince George BC, Canada, V2N 5P9, 250-964-5642, www.cispg.ca
Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number
Email *
example@example.com
If previously employed under a different name and/or relevant records are registered under a different name, please indicate the name used:
Previous name
Are you Catholic? *

Catholic Non-Catholic
If you are Catholic, please name your pastor and their parish
Education Experience

Start with your most recent experience. Please Submit Transcripts.
Education 1: date attended, name of institute (city, province), Degree/Diploma, Major, Minor *
Education 2: date attended, name of institute (city, province), Degree/Diploma, Major, Minor
Education 3: date attended, name of institute (city, province), Degree/Diploma, Major, Minor
Education 4: date attended, name of institute (city, province), Degree/Diploma, Major, Minor
Transcripts

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Teacher Certification
Teacher Regulation Branch *

Held Applied For Subject Restricted Certificate
Teacher Certificate from Other Area
Present Employment: Current position and employer (include school/district location) *
Teaching Experience

Start with your most recent experience.
Teaching Experience 1: From (mm/yy) To (mm/yy), position held, district/location, grade/subject *
Teaching Experience 2: From (mm/yy) To (mm/yy), position held, district/location, grade/subject
Teaching Experience 3: From (mm/yy) To (mm/yy), position held, district/location, grade/subject
Teaching Experience 4: From (mm/yy) To (mm/yy), position held, district/location, grade/subject
Teaching Experience in BC (in years) *
Teaching Experience Elsewhere (in years) *
Teaching Experience as a Substitute (in years) *
The information requested in this application package, including the inserts, is being collected in accordance with the BC Personal Information Protection Act (PIPA). The information will be used to determine the suitability and eligibility of applicants for approval for hiring purposes within the Catholic Independent Schools Diocese of Prince George (CISPG). Upon employment, these documents will be maintained in your CISPG personnel file. If you have any questions concerning the collection or use of the information, please contact Superintendent Chris Dugdale: cdugdale@cispg.ca
Administrative Experience

Start with your most recent experience
Admin experience 1: dates employed, FTE % Time, Grade/Position, School/District Address, Principal supervisor, reason for leaving) *
Admin experience 2: dates employed, FTE % Time, Grade/Position, School/District Address, Principal supervisor, reason for leaving)
Admin experience 3: dates employed, FTE % Time, Grade/Position, School/District Address, Principal supervisor, reason for leaving)
Admin experience 4: dates employed, FTE % Time, Grade/Position, School/District Address, Principal supervisor, reason for leaving)
Other Work Experience

Include work with voluntary or service organizations
Other work experience 1: dates employed, employer (city, prov.), Type of work, position, reason for leaving
Other work experience 2: dates employed, employer (city, prov.), Type of work, position, reason for leaving
Other work experience 3: dates employed, employer (city, prov.), Type of work, position, reason for leaving
Other work experience 4: dates employed, employer (city, prov.), Type of work, position, reason for leaving
References

Please include four references from people who can comment on your teaching, leadership experience and/or faith. These should include your current supervisor, someone with whom you have worked in a leadership capacity, and your pastor (please ensure that your pastor receives the online Pastor Reference Form available from the website).
Reference 1: name, address, position/relationship, telephone
Reference 2: name, address, position/relationship, telephone
Reference 3: name, address, position/relationship, telephone
Reference 4: name, address, position/relationship, telephone
Additional Information
Month, day, year available:
Are you legally eligible to accept employment in Canada? *

Yes No
I am a *

Canadian Citizen Landed Immigrant Holder of a valid work permit
Have you ever been convicted of a criminal offense or are there any outstanding criminal charges against you? In the case of a pardon or conditional or absolute discharge, answer no. If the answer is yes, give details in a separate document, including dates and places of charges and convictions. Mark "CONFIDENTIAL”

Yes No
Confidential Document 1 (if required)

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Have you ever been suspended, disqualified, censured, discharged or had disciplinary action instituted against you as a member of any profession or organization? If the answer is yes, please give details in a separate document and attach related documents. Mark “CONFIDENTIAL”

Yes No
Confidential Document 2 (if required)

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Do you know of any reason why you should not be employed in a capacity in whichyou work or will be in contact with children?

Yes No
Application Checklist

It is the responsibility of each teacher applicant to ensure that the following documents accompany their application.
Baptismal Certificate (if applicable)

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Catholic Church Marriage Certificate (if applicable)

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Resume and Cover Letter *

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Statement of Educational Philosophy

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Pastor Reference Letter (forwarded directly to CISPG by the Pastor)

I will have the Pastor forward it
Professional Letters of Reference (minimum of 4) *

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Performance appraisal, if applicable

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Teaching certificate, academic transcripts, and any other pertinent documents

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Application Declaration

When hiring teachers and administration, we select qualified individuals who exhibit exemplary attitude, ethics, and moral qualities as delineated in the Independent School Teacher Conduct and Competence Standards. Your vocation in our Catholic schools is witness to the CISPG Vision where “Parents, Pastors, and Staff collaborate to form a community where students are inspired to live the sacramental life, to grow in the moral life of virtue, and to thrive intellectually”.

CATHOLIC TEACHERS/ADMINISTRATION

Catholic teachers employed by CISPG will demonstrate at all times conduct and a way of life that are consistent with the Catholic Denominational Standards which include, but are not limited to:
- be a living witness of the Catholic faith through attending Sunday Mass, school liturgies and services, and living a single or married life according to the tenets of the Catholic Church
- be an active member of a parish
- be committed and capable of teaching the Diocesan-approved Religious Education Program
- be a Christian role model for others in the school, parish and community
NON-CATHOLIC TEACHERS/ADMINISTRATION

Non-Catholic teachers employed by CISPG will demonstrate at all times to the satisfaction of the employer, respect for the aims and nature of the school and its Catholic beliefs and practices which include, but are not limited to:
- living a single life or having a valid marriage certificate
- be a Christian role model for others in the school, parish and community
- participate in the liturgical life of the school
I have read and commit to the Applicant Declaration for: *

Catholic Teachers Non-Catholic Teachers
As well, I certify that the statements made by me in this application are true and complete to the best of my knowledge and beliefs and are made in good faith. I also understand that if any of these statements are untrue my appointment to a position may be terminated or rescinded at any point.
By typing your name below you digitally "sign" the above statements and information to be true. *
Should be Empty:

Principal Application Form

Education Experience

Teacher Certification

Teaching Experience

Administrative Experience

Other Work Experience

References

Additional Information

Application Checklist

Application Declaration