CHRISTIAN LIFE ACADEMY 3973 State Route 257 Seneca, PA 16346 (814) 676-9360 FAX (814) 676-2908 cla@csonline.net APPLICATION FOR TEACHING POSITION Miss Mr. Mrs. (Last Name) (First) (Middle Int.) (Maiden Name) Spouse's Name Present Address Permanent Address Home Phone: Work Phone: Position Sought: Elementary Grades Secondary Choice Jr. High Sr. High Subject(s) Desired Other Signature Date If you are not employed full time, are you interested in being placed on our substitute list? Yes No That in all things Jesus Christ might have the pre-eminence. Colossians 1:18
Personal Data 1. Are you physically able to perform the duties of this position? (including traveling stairs several times a day, standing as required by teaching, and classroom management) 2. Marital status: Single Married Divorced Separated Widowed 3. Number of children 4. Present Position 5. I am interested in working: 1 year 2 years Indefinitely 6. Academic and social organizations to which you belong 7. Describe any work experiences or special training that qualify you for this position. 9. Church where you presently fellowship 10. Extra-curricular activities you are qualified to coach or supervise 11. When are you available for an interview? 12. When could you assume a position here? 13. Future educational plans 14. Special abilities or achievements 15. What musical instruments do you play? 16. Are you able to teach: Music Art Handcrafts Other Christian Life Academy Application for Teaching Position Updated September 2010 2
STATEMENT OF FAITH I believe in and undoubtedly affirm the statement of faith adopted by CLA: I believe the Bible to be the inspired and the only infallible authoritative Word of God. I believe that there is one God, eternally existent in three persons; Father, Son, and Holy Spirit. I believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory. I believe that man is sinful by nature and that regeneration by the Holy Spirit is essential for his salvation. I believe in the continuing ministry of the Holy Spirit, by whose indwelling the Christian is enabled to live a Godly life. I believe in the resurrection of both the saved and the lost; the saved unto eternal life and the lost unto eternal damnation. I believe in the spiritual unity of believers in our Lord Jesus Christ. I believe in the creation of man by the direct Act of God. I have been born again through the shed blood of Jesus Christ. Signature Date: In your own handwriting, briefly give your personal testimony of faith in Jesus Christ. Give a description of your own devotional life (daily, etc.) Christian Life Academy Application for Teaching Position Updated September 2010 3
Certificate Record Title of Certificate Certificate Number Date of Issue Issuing Agency Date Certificate Made Permanent Subject/Grade Listed Certificate: Please attach copy of Child Abuse, PA Criminal Record and FBI clearances. ADDITIONAL INFORMATION List recent Christian ministry involvement. Are you able to teach Bible classes provide spiritual leadership? Are you prepared to lead a young person to accept Christ as his personal Savior? What is the attitude of your spouse to your teaching in a Christian school? Have you recognized any leading of the Lord as you consider teaching at a Christian school? List and describe any courses taken in Christian Philosophy of Education and/or courses giving specific training for Christian Day Schools. Please state your personal views regarding creation. Full time teachers are required to have their school-age children attend CLA. If applicable, are you prepared to have your school-age children attend CLA? Christian Life Academy Application for Teaching Position Updated September 2010 4
PERSONAL REFERENCES Spiritual - A spiritual leader who knows you well Name: Phone: Address: Pastoral - Pastor of the church you are now attending (if different from above) Name: Phone: Address: Professional - Three individuals who have supervised your work, preferably in education Name: Phone: Address: Name: Phone: Address: Name: Phone: Address: Christian Life Academy, Inc. employs without regard to race, color, national or ethnic origin. It does not discriminate on the basis of race, color, national or ethnic origin. Christian Life Academy Application for Teaching Position Updated September 2010 5
EDUCATIONAL RECORD NAME & LOCATION OF SCHOOL (Post High School Only) YEARS FROM-TO DIPLOMA/ DEGREE MAJOR MINOR SUBJECT EMPLOYMENT RECORD YEARS FROM-TO BUSINESS/SCHOOL POSITION NATURE OF WORK Christian Life Academy Application for Teaching Position Updated September 2010 6