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?*

Elementary SchoolMiddle SchoolHigh School
What subject(s) are you interested in teaching?*

MathEnglishScienceHistoryBibleArtMusicPEOther
What hours are you available?*

Morning 8:00-12:00Afternoon 12:00-3:00BothOther
I understand that positions at Chapin Academy are part time on Tuesday and Thursday only and are paid hourly.

Yes
I understand that middle and high school positions are hired per subject/course and paid hourly.

Yes
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