544 Christmas Ave. (Hwy. 11 N.) Bethlehem, GA 30620 Phone: 770.307.1574 Fax: 678.425.6553 Certified Teacher Application for Employment Application Date: / / Position Desired: Grades/Subjects interested in teaching: Position Information Full Time / Part Time Highest Degree: Number of years teaching experience: Field of Degree: Date Available to Start: Full Name: Phone (Cell/Home/Office): Address: Personal Information Email: Best time to call: Christian Background Bethlehem Christian Academy requires that every employee manifest by daily example the highest Christian virtue and serving as a Christian role model (I Tim. 4:12) both in and out of the school to the children (Luke 6:40), and as an example to parents and fellow staff members in judgment, dignity, respect, and Christian living. Bible: Do you believe the Bible to be the ONLY inspired and inerrant Word of God, our final authority in all matters of faith, conduct, and truth? Yes / No Signature: Statement of Faith: Please carefully read our Statement of Faith (found on our website) and indicate below your degree of support: I fully support the Statement of Faith as written without mental reservations. I support the Statement of Faith except for the area(s) listed and explained on the attached paper. (The exceptions represent either disagreement or items for which I have not yet fully formed an opinion or conviction.) Signature: BCA Certified Teacher Application --- Updated 01/2014 Page 1
Church: What is your local church affiliation? Are you presently a member in good standing? Yes / No Service: Are you prepared to lead a young person to accept Christ as his or her personal Savior? Yes / No Have you ever been involved in personal evangelism? Yes / No Please describe your experience(s): Testimony: In your own words on a separate paper, briefly give your Christian testimony and give highlights of what God is currently doing in your life. Professional Qualifications Please attach photocopies of all college transcripts. Should you be offered a position, official copies of your college transcripts will be required to be submitted for inclusion in your personal file. Formal Training: List all degrees that you currently possess. Degree Date Received Issuing Institution Your Major(s) Your Minor(s) Cumulative Grade Point Average: BS/BA Experience: Sequentially list your teaching experience (most recent first) 1) Graduate Work: School Name & Address Grade(s) and/or Subject(s) Dates of Employment 2) 3) Reason for leaving your most recent position Number of years of teaching experience: Public Christian Private List Curriculum you have experience with BCA Certified Teacher Application --- Updated 01/2014 Page 2
Credentials: Do you have an ACSI Teaching Certificate? Yes / No Level: Do you have a state Teaching Certificate? Level: Yes / No (Please attach photocopies of any teaching certificates that you hold.) Valid until: Valid until: Preferences: What subject matter or grade levels are you most interested in teaching? Are you particularly interested or gifted in any of the following? Art Drama Physical Education Clubs: Music (which? Vocal / Instrumental / Both) Competitive Academic Teams: Coaching: Other: Personal Interests List memberships, offices, and honors obtained in: High School: College: Currently: List your hobbies and personal interests: Personal Philosophy On a separate sheet of paper, please label and succinctly answer each of the following questions in one or two paragraphs. 1) Why do you wish to teach at Bethlehem Christian Academy? 2) What is your philosophy of education? (If you are applying for grades 1-6, please incorporate in your response your belief about how children learn.) 3) What do you consider to be the proper classroom atmosphere for teaching? 4) What are your thoughts on discipline in the classroom? 5) What areas do you feel are your strengths? Your weaknesses? BCA Certified Teacher Application --- Updated 01/2014 Page 3
Work History Please list work history other than teaching experience listed above that may have significance for the type of position for which you are applying. If you would like to give further explanation, please use a separate sheet. 1) Employer Name & Address: Immediate Supervisor: Email: Dates of Employment: Description of Work: Reason for Leaving: Position Held: Position: Phone: 2) Employer Name & Address: Immediate Supervisor: Email: Dates of Employment: Description of Work: Reason for Leaving: Position Held: Position: Phone: Have you ever been charged or accused of any child abuse or other unlawful action toward children? Yes / No If Yes, provide details: Have you ever been charged with any offense involving a law enforcement officer? Yes / No If Yes, provide details: BCA Certified Teacher Application --- Updated 01/2014 Page 4
Personal References: Do not list family members or relatives for references. You will also need to sign the Reference Release Form that is attached and return it with this application. Give three references that are qualified to speak of your spiritual experience and Christian service. List your current pastor first. Name/Complete Address Email Phone Relationship 1) 2) 3) Give three references that are qualified to speak of your professional training and experience. List your current or most recent principal or supervisor first. Name/Complete Address Email Phone Position 1) 2) 3) BCA Certified Teacher Application --- Updated 01/2014 Page 5
APPLICANT'S CERTIFICATION AND AGREEMENT I understand that Bethlehem Christian Academy does not discriminate in its employment practices against any person because of race, color, national or ethnic origin, gender, age, or qualified disability. I hereby certify that the facts set forth in this application process are true and complete to the best of my knowledge. I understand that falsification of any statement or a significant omission of fact may prevent me from being hired, or if hired, may subject me to immediate dismissal regardless of the time elapsed before discovery. If I am released under these circumstances, I further understand and agree that I will be paid and receive benefits only through the day of release. I authorize Bethlehem Christian Academy to thoroughly interview the primary references which I have listed, any secondary references mentioned through interviews with primary references, or other individuals who know me and have knowledge regarding my testimony and work record. I also authorize the school to thoroughly investigate my work records and evaluations, my educational preparation, and other matters related to my suitability for the position. 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 the school, 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 the school. Since I will be working with children, I understand that I must submit to a background check. I understand and agree that any offer of employment that I may receive from the school is conditioned upon the receipt of background information, including criminal background information. The school may refuse employment or terminate conditional employment if the school deems any background information unfavorable or that it could reflect adversely on the school or on me as a Christian role model. I understand that this is only an application for employment and that no employment contract is being offered at this time. I certify that I have carefully read and do understand the above statements. Signature of Applicant Date BCA Certified Teacher Application --- Updated 01/2014 Page 6