Fill - Free fillable K-12 Teaching Application Current (Fairfield Christian Academy) PDF form

F A I R F I E L D C H R I S T I A N A C A D E M Y

A P P L I C A T I O N F O R K - 12 T E A C H I N G S T A F F

DATE __________________________ NAME ___________________________________________________________

PHONE ________________________ EMAIL ___________________________________________________________

ADDRESS ________________________________________________________________________________________

CITY ____________________________________________ STATE _______________ ZIP CODE __________________

APPLYING FOR ____________________________________________________________________________________

E D U C A T I O N

Please begin with your most recent educaonal experience.

L I C E N S U R E

Inial licensure _____________________________________________ Year ________ State __________

Have you ever allowed your teaching license to lapse or expire? YES NO

Do you have a Professional License or a Resident Educator License?___________________________

If you are a Resident Educator, what year are you? ONE TWO THREE

List any endorsements or addional cercaons. ________________________________________________

_________________________________________________________________________________________________

Aach a copy of your current teaching cercate to this applicaon.

INSTITUTION LOCATION DEGREE RECEIVED

E X P E R I E N C E

Have you ever been dismissed, suspended or asked to resign from a teaching posion? If yes, please explain.

_________________________________________________________________________________________________

Please begin with your most recent teaching experience including any student teaching experience.

List any addional experience or training as a professional educator _________________________________

_________________________________________________________________________________________

List any other relevant professional experience __________________________________________________

_________________________________________________________________________________________

Describe any leadership roles or responsibilies__________________________________________________

_________________________________________________________________________________________

POSITION SCHOOL ADDRESS DATES OF EMPLOYMENT

R E F E R E N C E S

PROFESSIONAL

Name __________________________________________ Relaonship ______________________________

Phone _____________________________________ How long have they known you? ___________________

Name __________________________________________ Relaonship ______________________________

Phone _____________________________________ How long have they known you? ___________________

PERSONAL

Name _________________________________________ Relaonship _______________________________

Phone _____________________________________ How long have they known you? ___________________

Name __________________________________________ Relaonship ______________________________

Phone _____________________________________ How long have they known you? ___________________

PASTORAL

What church do you currently aend? _________________________________________________________

In few sentences briey describe your own faith journey and church involvement.

_________________________________________________________________________________________

Please ask a member of the pastoral sta at your home church to complete the aached

recommendaon form and return it to the Superintendent’s Oce.

Upon hire you will be asked to sign a Chrisan lifestyle commitment as well as a document that details the

mission, values and core beliefs of Faireld Chrisan Academy. Both documents are available to you on the

Employment Opportunies secon of our website, and we urge you to review them. Please sign here to

acknowledge that upon hire you will be asked to sign as an indicaon of your agreement with both of those

documents.

SIGNATURE ________________________________________________ DATE __________________________

N O N - D I S C R I M I N A T O R Y P O L I CY

Faireld Chrisan Academy does not discriminate on the basis of race, color, naonal origin, disability or

age in its privileges, programs and acvies, as it pertains to both academics and extracurricular acvies.

This non-discriminatory policy is upheld as it relates to the admiance of students as well as the hiring of

cered or non-cered personnel. As a nonpublic instuon chartered through the Ohio Department of

Educaon, FCA is not intended to be an alternave to court or administrave agency ordered, or public

school district iniated, desegregaon.

F A I R F I E L D C H R I S T I A N A C A D E M Y

1965 N COLUMBUS ST LANCASTER, OH 43130

PHONE 740.654.2889 FAX 740.654.7689

P A S T O R A L R E C O M M E N D A T I O N F O R M

Name of applicant: _________________________________________________________________________

Posion applied for: ________________________________________________________________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Pastor or church sta member: please answer the following quesons to the best of your knowledge. We

appreciate your me and value your input in our decision making process. Return completed form by fax or

mail directly to the Superintendent’s Oce at FCA.

1. Is the applicant a member of your church? YES NO

2. How long has the applicant aended your church? ____________________________________

3. On a scale of 1 - 10, how well do you know the applicant? (1 - not at all to 10 - extremely well)

1 2 3 4 5 6 7 8 9 10

4. Is the applicant an acve and involved member of your church community? ________________________

5. How is the applicant involved in the ministry of your church? ____________________________________

______________________________________________________________________________________

6. Please select your level of recommendaon and explain.

Strongly recommend Recommend Recommend with reservaon Do not recommend

_________________________________________________________________________________________

NAME _________________________________________ POSITION _________________________________

CHURCH _________________________________________________________________________________

EMAIL ___________________________________________________________________________________

SIGNATURE _______________________________________________ DATE __________________________

F A I R F I E L D C H R I S T I A N A C A D E M Y

1965 N COLUMBUS ST LANCASTER, OH 43130

PHONE 740.654.2889 FAX 740.654.7689

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