Substitute Teacher

First Name*

Last Name*

Email Address*

Phone*

Address

Resume*

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What grade level(s) and subject(s) are you interested in serving as a substitute teacher?*

What days/times are you *NOT* available to substitute teach?

Please tell us your highest level of Education:
Name of university or college
Major
Dates attended
Date of Graduation
Overall GPA*

Please tell us any other Education you have:
Name of university or college
Major
Dates attended
Date of Graduation
Overall GPA

Please list any and all certifications, licenses, professional designations, and similar forms of professional standing or recognition that you have received. (Please note any that are no longer active.)
Also list all professional societies/organizations to which you belong.

Why do you want to be a substitute teacher at Kingdom Preparatory Academy?*

Please list your last three employers, beginning with your current or most recent employer.

For employer #1, please tell us:
1) Employer
2) Date range you were employed for (MM/DD/YYYY)-(MM/DD/YYYY)
3) City and State of Employer
4) Position(s) held
5) Annual Ending Salary
6) Summary of Responsibilities & Experience
7) Specific Reason for leaving*

May we contact this employer?* YesNo

If checked "Yes" above, please provide name, title, and direct number of contact person.

If checked "No" above, please indicate why not.

Please list your last three employers, beginning with your current or most recent employer.

For employer #2, please tell us:
1) Employer
2) Date range you were employed for (MM/DD/YYYY)-(MM/DD/YYYY)
3) City and State of Employer
4) Position(s) held
5) Annual Ending Salary
6) Summary of Responsibilities & Experience
7) Specific Reason for leaving*

May we contact this employer?* YesNo

If checked "Yes" above, please provide name, title, and direct number of contact person.

If checked "No" above, please indicate why not.

Please list your last three employers, beginning with your current or most recent employer.

For employer #3, please tell us:
1) Employer
2) Date range you were employed for (MM/DD/YYYY)-(MM/DD/YYYY)
3) City and State of Employer
4) Position(s) held
5) Annual Ending Salary
6) Summary of Responsibilities & Experience
7) Specific Reason for leaving

May we contact this employer? YesNo

If checked "Yes" above, please provide name, title, and direct number of contact person.

If checked "No" above, please indicate why not.

Authorization to Release Reference Information:
By completing the subject application for Kingdom Prep, I am authorizing the school to thoroughly interview the primary references which I list on the following pages, any secondary references mentioned through interviews with primary references, or other individuals that know me and have knowledge regarding my testimony and work record. I also authorize Kingdom Prep to thoroughly investigate my work records and evaluations, my educational preparation, and all other matters related to my suitability for employment.

I authorize references and my former employers to disclose to the school any and all employment records, performance reviews, letters, reports, and other information related to my life and employment, without giving me prior notice of such disclosure.

In addition, I hereby release Kingdom Prep, my former employers, references, and all other parties from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.

I waive the right to ever personally view any references given to Kingdom Prep.

I agree that my electronic signature at the conclusion of this application shall be considered for all purposes as the original signed release on file.

I certify that I have carefully read and do understand the above statements.* YesNo

Please provide three references with phone numbers and email addresses. Include one professional reference, one personal reference (outside of your family), and one church related reference who can comment on your Christian faith.

Professional Reference #1
1) name and contact info: (number and email address)
2) employer and city/state
3) relationship to applicant and years known.*

Please provide three references with phone numbers and email addresses. Include one professional reference, one personal reference (outside of your family), and one church related reference who can comment on your Christian faith.

Personal Reference
1) name and contact info: (number and email address)
2) employer and city/state
3) relationship to applicant and years known.*

Please provide three references with phone numbers and email addresses. Include one professional reference, one personal reference (outside of your family), and one church related reference who can comment on your Christian faith.

Church Related Reference
1) name and contact info: (number and email address)
2) employer and city/state
3) relationship to applicant and years known.*

Our school welcomes employees, volunteers, and students of different nationalities, races and denominations. How have you demonstrated an ability to work with others who may be different from you or have beliefs different from yours? Please describe any difficulties that you may have encountered.

If you are offered a position, will you be able to verify that you are legally permitted to be employed in the United States?* YesNo

If "No" was selected for the question above, please explain.

Are you presently being investigated or under a procedure to consider your discharge for misconduct by your present employer?* YesNo

Has any employer ever subjected you to disciplinary action, suspended, terminated, or asked you to leave a job or volunteer position on the grounds of any unlawful sexual behavior, or violation of an employer’s sexual misconduct or harassment policy?* YesNo

Have you ever been charged in civil or criminal proceedings with improprieties regarding children or minors?* YesNo

Have you ever entered a plea of guilty, a plea of “no contest” (nolo contendere), or has any court ever deferred further proceedings without entering a finding of guilty and placed you on probation or in a public service or education program for any crime other than a minor traffic offense?* YesNo

Have you ever been suspended, discharged, or resigned in lieu of discharge from any position?* YesNo

If you answered “Yes” to any of the questions in this section, please provide details regarding the nature of the suit, offense, date, court, and disposition or other appropriate explanation. A conviction record will not automatically be a bar to employment. Factors such as your age at the time of the crime, seriousness and nature of the violation, time elapsed since the crime, job relatedness, and subsequent rehabilitation will be considered.

What is your Christian denominational preference, if any?

What church are you presently attending?

What is your Pastor's name and phone number?

What is the address of your church?

May we contact your pastor? YesNo

How are you currently involved in the church?

Please give a brief account of how you became a Christian.

How is your Christian faith reflected in your daily life?

What authority do the Scriptures have in your life and in the world?

We live in a pluralistic society with many conflicting beliefs and values. As an educator, your students and/or parents may ask you specific questions about controversial issues. Your answers will come from your personal convictions. We need to know the views held by those who would be Christian role models for our children. Please share your personal convictions as a Christian toward:

Abortion

We live in a pluralistic society with many conflicting beliefs and values. As an educator, your students and/or parents may ask you specific questions about controversial issues. Your answers will come from your personal convictions. We need to know the views held by those who would be Christian role models for our children. Please share your personal convictions as a Christian toward:

Homosexuality

We live in a pluralistic society with many conflicting beliefs and values. As an educator, your students and/or parents may ask you specific questions about controversial issues. Your answers will come from your personal convictions. We need to know the views held by those who would be Christian role models for our children. Please share your personal convictions as a Christian toward:

Sexual activity outside Christin marriage.

Signature of Attestation.

Please provide electronic signature below attesting that all information provided in this application is complete and truthful.*

Date of Signature of Attestation.*

I acknowledge that I am aware that this job is part-time with part-time pay, and I am okay moving forward with the application process.* YesNo

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