Employment/Substitute Teacher/Volunteer Application & Background Check Authorization

Employment/Substitute Teacher/Volunteer Application & Background Check Authorization
Position Desired:
Date Available for Work:

MonthDayYear
Date
Personal Information:
Legal Name

First NameMiddle NameLast Name
Preferred Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at this address?
Email
example@example.com
Relationship Status
Spouse's Name

First NameLast Name
Desired Level(s):
Grade or subject in order of preference:
Please list activities or sports that you would be capable of and interested to direct, sponsor, advise, or coach:
Have you ever been dismissed, resigned to avoid being dismissed, or been asked to resign from a position?
If yes, explain:
Have you ever been convicted of any offense involving dishonesty, breach of trust, child abuse, or any felony?
If yes, explain:
What sparked your interest in teaching at CMA?
Do you know people who attend CMA or work for CMA?

References
Please give three personal/pastoral references who are qualified to speak of your spiritual experience and Christian service.
Reference (1)

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Occupation
Reference (2)

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Occupation
Reference (3)

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Occupation
Please give three professional references who are qualified to speak to your professional training and or experience. List your current or most recent principal or supervisor first.
Reference (1)

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Occupation
Reference (2)

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Occupation
Reference (3)

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Occupation
Professional Qualifications:

If you hold a degree, please list your information below.
What degree(s) do you hold?
Date Received

MonthDayYear
Date
Issuing Institution
Your Major(s)
Your Minor(s)
Cumulative Grade Point Average:
Graduate:
Undergraduate:

Teaching Experience

Please list your teaching experience with the most recent first:
Place
Grade/Subject
Dates
Club/Sports
Place
Grade/Subject
Dates
Club/Sports
Place
Grade/Subject
Dates
Club/Sports
Number of years teaching experience:
Public:
Private:
Christian:
Total:
Are you under contract for the coming year?
Reason for leaving your most recent position?
List other work or military experiences that may have significance for the type of position for which you are applying:
Place
Type of Work/Experience
Dates
Do you have a state teaching certificate?
What kind?
Expires:
Endorsement(s) List semester hours in endorsement area(s)
If you do not hold a license, what requirements do you lack?

Personal Interests:
List memberships, offices, and honors obtained in:
High School:
College:
Current:
List your hobbies and personal interests:
Christian Background:
Church Denominational preference:
What church do you attend?
Are you presently a member in good standing?
How many years have you attended this church?
In what church activities are you involved in and with what degree of regularity?
What ministry or service have you been involved in?
Describe your routine of personal Bible study and prayer:
Other than the Bible, what books have most influenced you?
Please comment on your spiritual growth:
List current strengths:
List current weaknesses:

Personal Information: