GRANVILLE CHRISTIAN ACADEMY STAFF APPLICATION 1820 Newark-Granville Road, Granville, OH 43023

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GRANVILLE CHRISTIAN ACADEMY STAFF APPLICATION 1820 Newark-Granville Road, Granville, OH 43023 GCA Mission Statement - Granville Christian Academy is a Christ-centered school committed to academic excellence and spiritual boldness in a nurturing environment. Granville Christian Academy equips students to effectively serve in their home, school, and community. Position applying for: Office Coaching Support Position Other Today s Date: Personal History Last Name: First Name: Middle Initial: City: State: Zip: Email: Cell Phone: Other Phone: Gender: Male Female 1. Have you ever applied with us before? Yes No 2. Have you ever been employed with us before? Yes No 3. Are you currently employed? Yes No 4. If so, may we contact your current employer? Yes No 5. Have you ever taught full time in any K5 12 th grade school before? Yes No 6. Have you ever taught part time in any K5 12th grade school before? Yes No 7. Are you legally eligible for employment in the United States? Yes No 8. Are you currently on lay-off status & subject to recall? Yes No 9. On what date would you be available to work? 10. List all friends or relatives employed by GCA: 11. Have you ever been charged or convicted of a felony? Yes No If you answered Yes, please explain: 12. Are you a born again Believer in Christ? Yes No 13. Give a brief testimony about your spiritual position:

14. Church attending 15. Do you attend church regularly? Yes No 16. Number of days you have missed work in the past 12 months? Explanation if desired 17. Do you have any limitations which would affect your ability to perform the functions of the job? Yes No If so, explain: Necessary accommodations: 18. Do you agree to the following doctrinal statement? Yes No A. Preamble 1. In essential beliefs we have unity There is one Body and one Spirit one Lord, one faith one baptism, one God and Father of all Eph.4:4-6 2. In non-essential beliefs we have liberty Accept him whose faith is weak, without passing judgment on disputable matters. Who are you to judge someone else s servant? To his own master he stands or falls So then, each of us will give an account of himself to God. So whatever you believe about these things keep between yourself and God Rom.14:1, 4, 12, 22 3. In all our beliefs we show love. If I have the gift of prophecy and can fathom all mysteries and all knowledge, and I have faith that can move mountains, but have not love, I am nothing. I Cor.13:2 B. Essential Beliefs 1. About God: We believe that God exists eternally and that He manifests Himself in three persons God the Father, God the Son, and God the Holy Spirit. (Mat.28:19; I Pet.2:2; 2 Cor.13:14; Ps.90:2; Gen.1:1, 26, 27, 3:22) 2. About Jesus Christ (Son of God): We believe that Jesus Christ was born of a virgin, was crucified, buried, and rose bodily from the grave and will come again to this world to reign in righteousness. (Lk.1:30-35; Jn.14:6; I Thes.4:16-17) 3. About the Holy Spirit: We believe that a person is baptized by the Holy Spirit into the Body of Christ at the time of conversion; this baptism results in a believer being filled and supernaturally empowered for service through spiritual gifts. (I Cor.12:13; Rms.8:9-17; Rom.16:7-13; Eph.5:18; Gal.5:25; Jn.14:16-17) 4. About the Bible: We believe that the Bible is our supreme authority, and it is sufficient as our only rule of faith and practice. The Bible is God s Word to us. It was written by human authors under the supernatural guidance of the Holy Spirit and it is truth without any mixture of error. (I Tim.3:16; Heb.4:12; Rev.22:19; Pro.30:5; Ps.119:105, 160; 2 Pet.1:20-21) 5. About Salvation: We believe that forgiveness of sin, salvation, and new life is made possible by the death of Jesus Christ on the cross. This salvation is by grace, through faith, and by the appropriation of the shed blood of Jesus Christ. (Rom.6:23; Eph.2:8-9; Jn.14:6; Jn.1:12; Tit.3:5; Gal.3:26; Rom.5:2) 6. About Eternity: We believe there shall be a resurrection of the saved to eternal life and a resurrection of the unsaved to eternal punishment in hell. Because God gives us eternal life through Jesus Christ, the true believer is secure in that salvation for eternity. (Jn.3:16; Jn.5:11-13; Jn.10:29; Rom.6:23)

19. Do you agree to the following statement of purpose? Yes No Granville Christian Academy believes that Christian education exists to provide instruction that promotes the highest achievement in academics, Biblical worldview, and character development. These three qualities should be marked in disciplined behavior, thereby equipping children with what they need to live successfully and effectively. Educational Background Name, City, State of school Major Diploma/Degree Year Completed High School Undergrad College Graduate/Professional Other (Specify) Specialized Skills Computer Sound Equipment Musical Instrument Choir Drama Video Editing Cheerleading Athletics Preaching Event Coordinating CDL Bus Driver Art Work Experience Start with your present or latest job and list your work experience in date order. Include any job-related Military service assignments and volunteer activities. Include all job related experience in the field of education. Include all non-educational jobs.

Applicant s Statement I certify that answers given herein are true and complete to the best of my knowledge. 1. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. 2. I understand that this application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. 3. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an at will nature, which means that the employee may resign at any time and the employer may discharge the employee at any time with or without cause. It is further understood that this at will employment relationship may not be changed by any written document or conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. 4. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also that I am required to abide by all rules and regulations of the employer. 5. I consent to a criminal history and employment investigation by Spring Hills Baptist Church. (You may access this process through the following website: http://www.springhillschurch.org/resources/safety-- security/background-check/) Signature of applicant Date References Pastoral - pastor of the church you now attend: Name: Home Phone: Work Phone: Comments: Spiritual - spiritual leader who knows you well other than the pastor listed above: Name: Home Phone: Work Phone: Comments:

Professional supervisor you last worked for: Name: Home Phone: Work Phone: Comments: Return application via USPS or email to: Jeff Dalzell, Principal 1820 Newark-Granville Road Granville, Ohio 43023 or Principal@GranvilleCA.org Granville Christian Academy selects students and employees of any race, color, gender, or ethnic origin. Students and employees of all race, color, gender, or ethnic origin are entitled to all rights, privileges, programs, and activities provided by the school. In addition, Granville Christian Academy will not discriminate on the basis of race, color, gender, or ethnic origin in the administration of its educational or athletic programs and extracurricular activities. Furthermore, the school is not intended to be an alternative to court orders, administrative agencies, or public school district initiated desegregation.