COLORADO SPRINGS CHRISTIAN SCHOOLS 4855 Mallow Road Colorado Springs, CO 80907 (719) 599-3553 FAX (719) 268-2185 Email humanresources@cscslions.org Instructional Staff Application (K-12 th ) PLEASE PRINT CLEARLY OR TYPE PERSONAL INFORMATION: Name Date (Last) (First) (MI) (Nickname) Street Address Email Address City, State, Zip Home Phone ( ) Business( ) Position(s) applying for ES MS HS I am willing to work (please check all that apply): Date available for employment Full time Part time Substitute How did you learn about this job opportunity? TEACHER CERTIFICATION AND DRIVERS LICENSE INFORMATION: Teacher Certificates or Drivers License Currently Held: Teacher Certificate: None Valid Colorado Valid Other State/Specify ACSI Certification Type Expires ACSI Temporary Certification Type Expires Drivers License: Valid Colorado DL# Valid Other State/Specify /# Yes No Have you been cited for any moving violations or accidents within the last 5 years? If yes, please explain: Yes No Have you ever had any convictions for driving under the influence of drugs and/or alcohol? If yes, please explain: First Aid Training No Yes-Date Completed CPR Training No Yes-Date Completed Areas of Specialization: Administrator All-level Art Vocational (specify) Superintendent All-level Health and PE Technology/ Principal All-level Music Special Education (specify) Elementary Librarian Elementary and Kindergarten Counselor Foreign Language (specify) Secondary (Jr./Sr. High) Nurse - 1 -
EDUCATION/TRAINING: Name and location of Schools attended Course of study and Major/Minor Diploma, degree, Certificate, or license held Year Graduated (College only) Approximate Cumulative Grade Point Average: B.A. M.A. Other Major Subject G.P.A. OTHER WORK EXPERIENCE (List ALL previous work experience (paid or unpaid): School District/ Firm Name Position/title Dates Employed Mo/Yr Mo/Yr Reason for leaving If additional room is needed, please copy this page and attach to your application. -2-
TEACHING EXPERIENCE (List ALL previous teaching experience (paid or unpaid): In the spaces below, list teaching experience beginning with most recent years. 1. School: Month/Year Month/Year Administrator: Address: Phone: Type of Assignment and Duties: May be contacted Yes No Reason for Leaving: Ending Salary: 2. School: Month/Year Month/Year Administrator: Address: Phone: Type of Assignment and Duties: May be contacted Yes No Reason for Leaving: Ending Salary: 3. School: Month/Year Month/Year Administrator: Address: Phone: Type of Assignment and Duties: May be contacted Yes No Reason for Leaving: Ending Salary: 4. School: Month/Year Month/Year Administrator: Address: Phone: Type of Assignment and Duties: May be contacted Yes No Reason for Leaving: Ending Salary: 1. Are you physically and mentally able to perform the essential functions of a teaching position? Yes No If no, please describe in full: If additional room is needed, please copy this page and attach to your application. -3-
PROFESSIONAL REFERENCES: List below three persons (other than relatives) who are familiar with your character, professional qualifications, and experience to whom we may direct inquiries. Name Address Telephone No. Relationship 1. 2. 3. PERSONAL REFERENCES: List below three persons (other than relatives) who are familiar with your character, professional qualifications, and experience to whom we may direct inquiries. Name Address Telephone No. Relationship 1. 2. 3. PROFESSIONAL DATA: Please list relevant professional Activities, Distinctions, or Honors. Papers/articles published Seminars/workshops conducted Other related professional activities Summer Session and Extension Courses: Dates Institution Address Courses and Credits List any extra-curricular activities and/or sports which you feel qualified to advise or coach. GENERAL INFORMATION: Are you related by blood or by marriage to any present employees at Colorado Springs Christian Schools? Yes No If Yes, please list below. Name(s) Position/Organization Relationship 1. Please state specifically why you desire employment at Colorado Springs Christian Schools: 2. Are you eligible to work in the United States? Yes No -4-
3. Have you previously been employed by Colorado Springs Christian Schools? Yes No If yes, give position and dates: 4. Has anyone ever filed or threatened to file a civil or criminal action against you alleging physical or sexual abuse or sexual harassment by you? Yes No If yes, give an explanation indicating the date, nature and place of the incident leading to the allegation, and the disposition of the matter. 5. Have you ever terminated your employment or had your employment terminated or has your employer ever reprimanded you for reasons relating to allegations of use of pornography, physical or sexual abuse or sexual harassment by you? Yes No If yes, give a short explanation of the allegations. (Please indicate the date, nature and place of the allegations, the disposition of the allegations, and your employer at the time, including your employer s name, address and telephone number.) 6. Have you ever been convicted of, plead guilty or no contest (nolo contendere) to, or received probation, suspension, or deferred adjudication for a felony or offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, and indecency with a minor)? Yes No If yes, please state where, when and the nature of the offense CHRISTIAN COMMITMENT As a religious educational institution, one of Colorado Springs Christian Schools criteria is religious belief and Colorado Springs Christian Schools reserves the right to select employees on the basis of religion. Please read the statement of Educational Mission, Colorado Springs Christian Schools Doctrinal Statement and Standards of Conduct on the back of the application. Do you affirm your commitment to it? Yes No With the following reservations: -5-
Referring to the doctrinal statement of CSCS, please respond to the following: 1. Give a brief personal statement of your beliefs regarding the following: Salvation God Jesus Christ Holy Spirit Eternal Life Inerrancy of Scriptures Christian liberties with regard to alcoholic beverages, tobacco, and matters of recreation and entertainment? Alternative Life Styles God s call to the teaching profession 2. How do you spend your time daily with the Lord? 3. Please give a brief testimony of your salvation experience? -6-
4. What is your philosophy of Christian education? 5. Describe your experiences with integrating Biblical truth into academic subjects 6. Describe your teaching style. 7. Please describe your regular association with a group of Christian believers (describe all that apply): Church affiliation, membership current attendance: Bible Study or prayer group: Community outreach/ministry: Other: Signature Date Please return this completed application to the Office of Human Resources. Incomplete applications will not be considered. CSCS, in its hiring and employment practices, does not discriminate on the basis of race, color, sex, age, handicap, or national and ethnic origin. -7-
APPLICANT S DECLARATION, AUTHORIZATION AND RELEASE My answers on this application and any resume I provide are complete and true. I understand that the submission of any false or incomplete information in connection with my application, whether on this or other documents or in interviews, will be cause for the rejection of my application or the termination of my employment at any time. I also authorize Colorado Springs Christian Schools and its agents to verify any information related to my application or resume. I also authorize individuals, schools, employers and law enforcement or government officials to freely release any information concerning my background, and hereby release any and all of them from any liability for doing so. Print Name Signature Date Colorado Springs Christian Schools shall comply with applicable laws and regulations prohibiting discrimination on grounds of race, color, gender, national origin, protected age category, military status or physical or mental disability of any individual who is otherwise qualified. For Human Resource Use Only Acknowledgment Sent Copies to: Date: Notes: Data Entered Skill Code Test Results (if applicable) Clerical Spelling Typing Technical -8-
*Statement of Educational Mission*Doctrinal Statement*Standards of Conduct* Mission Statement: CSCS mission is To provide an excellent education from a Christ-centered, biblical perspective for lifelong service. Doctrinal Statement: 1. We believe in the Scriptures of the Old and New Testaments as verbally inspired by God and inerrant; there are no contradictions, no historical inaccuracies, and no false scientific information in the original manuscripts (II Timothy 3:16). We believe that the Old and New Testaments not only contain the Word of God, but are the Word of God in their entirety, and are the final authority in al subjects on which they speak (II Peter 1:21). 2. We believe in one God, eternally existing in three persons: Father, Son and Holy Spirit (Matthew 28:18-19; Mark 12:29; John 1:14; Acts 5:304). 3. We believe that Jesus Christ was begotten by the Holy Spirit, born of the Virgin Mary (Matthew 1:20-23), and is true God and true Man (John 1:1,14). 4. We believe that man was created in the image of God (Genesis 1:26), from dust, as a perfectly created individual named Adam, that he sinned and thereby incurred not only physical death but also spiritual death which is separation from God (Genesis 2:17,3:6; Romans 5:12); that all human beings are born with a sinful nature, and, in the case of those who reach moral responsibility, become sinners in thought, word, and deed (Romans 3:10-12). 5. We believe that the Lord Jesus Christ died for our sins and for the sins of the whole world (I John 2:2), was buried and bodily rose from the dead according to the Scriptures (I Corinthians 15:1-4). We believe that He died as a representative and substitutionary sacrifice, and that all who believe in Him are justified by grace on the basis of His shed blood (John 3:16; Titus 3:5). We believe that those so justified are eternally preserved (e.g. the eternally secure position of the believer in Christ, as opposed to the concept that a believer in Christ could ever lose his salvation) through the present ministries of our risen, ascended, glorified Lord Jesus Christ and the Holy Spirit (John 10:27-29; Hebrews 7:25). 6. We believe that all who receive by faith the Lord Jesus Christ are born again of and indwelt by the Holy Spirit and thereby become children of God (John 3:3; 14:16-17). We believe that regenerate man must walk in dependence upon the Holy Spirit in order to please God (Galatians 5:16). 7. We believe in that blessed hope -the personal and imminent return of our Lord and Savior Jesus Christ (John 13:1-3; I Thessalonians 4:13-18). 8. We believe in the bodily resurrection of the just and unjust, the everlasting blessedness of the just and the everlasting punishment of the unjust (e.g. there is no second chance in hell or the lake of fire for a restoration or universalism in salvation). A person s eternal destiny is set when they die with no hope of a second chance of salvation (I Corinthians 15:51-52; Revelation 20:11-15). 9. We believe that the Church, composed of all those who truly believe on the Lord Jesus Christ as their Savior, is the Body and Bride of Christ. We believe that Christ is the Head of the Body, the Church (Ephesians 1:22-23); that all believers are baptized into the Body of Christ by the Holy Spirit, and thus having become members of one another, we are responsible to keep the unity of the Spirit in the bond of peace (I Corinthians 12:13; Ephesians 4:2). Standards of Conduct: The employees of Colorado Springs Christians Schools are expected to maintain a standard of conduct, which demonstrates a life, dedicated to the service of our Lord. By choosing to join the staff at CSCS, employees agree to abide by the non-comprehensive Standards of Conduct set forth below and agree to answer questions regarding allegations of behavior inconsistent with these Standards of Conduct. Employees also acknowledge the importance of modeling the lifestyle and ethic the Schools support to demonstrate that it is possible to live consistent with the CSCS Doctrinal Statement, to avoid scandal in the Schools, and to evangelize non-christians effectively. CSCS considers the prohibitions in the Standards of Conduct as authoritative, unchangeable Biblical instructions concerning living a Godly life. They are to be regarded as minimal examples of the complete, Christ-like standard set for us in the Bible and may be supplemented, but never contradicted, by other express commandments set forth in Scripture. The following behavior is prohibited both on and off the work premises, both during and after normal working hours (including in the private lives of employees). Sexual relations outside of marriage (defined as a permanent and legal union between one man and one woman), Drunkenness, or any excessive use of alcohol, Use or possession of narcotics and illegal hallucinogenic drugs of any kind, Use or possession of pornographic materials. Any uncertainty about whether particular behaviors violate a Biblical standard as determined by the Schools should be directed to the Office of the Superintendent. The Bylaws of Colorado Springs Christian Schools, Article II Section 2 state, Each member of the faculty and staff annually by contract, shall affirm, in writing, his/her commitment to the Doctrinal Statement. Signature Date