PRCA EMPLOYMENT APPLICATION

PRCA EMPLOYMENT APPLICATION Grammar School K-5 Pusch Ridge Christian Academy Grammer School 6450 N. Camino Miraval Tucson, Arizona 85718 www.prca.academy In order to provide equal hiring, employment and advancement opportunities to all individuals, employment decisions at Pusch Ridge Christian Academy (PRCA) will be based on merit, qualifications and abilities. PRCA does not discriminate in employment opportunities or practices on the basis of race, color, sex, national origin, age, disability, or other characteristics protected by law which are prohibited, except as set forth below, as a religious entity. PRCA retains the right and does discriminate on the basis of religion, which includes both issues of belief and conduct consistent with PRCA s Statement of Faith, Statement on Marriage, Gender and Sexuality, Statement on the Final Authority for Matters of Belief and Conduct, Statement on the Sanctity of Human Life and religious standards. These policies govern all aspects of employment, including recruitment, selection, hiring, job assignment, discipline and termination. All PRCA hiring decisions are subject to the results of a fingerprinting process (based on state and/or federal law and/or school policy). PRCA may also conduct a background check of an applicant for hire. All prospective employees of PRCA must complete the Department of Homeland Security Form I-9 prior to employment. This form is required by law in order to document that each new employee (both citizens and non-citizens) is authorized to work in the United States. 1

PRCA EMPLOYMENT APPLICATION General Personal Information Name: Last First M.I. Date of Application: / / Are you a U.S. Citizen? Yes No If no, explain: Date of Birth (month/day/year): / / Mailing Address: City: State: Zip Code: Email: Home Phone: ( ) Cell Phone: ( ) Marital Status: Single Married Separated Divorced If applicable: Spouse s Name: Occupation: Name and ages of children: Do you have a valid Arizona driver s license? Yes No If yes, what type: (1) Number Exp. Date: (2) Number Exp. Date: Do you have a driver s license from another state? If so, specify state, number and expiration date: Position(s) you are applying for: 1. 2. Have you ever worked under another name? Yes No If yes, what name? Are you desiring to work: Full-time or Part-time? Specify hours/days if Part-time: Date available to start employment: Expected rate of pay: $ (optional) List relatives or friends currently employed by PRCA: 1. 2. 3. 4. 2

Church Information Do you have a church home you attend with regularity? Yes No If no, explain: Name of church you attend: How long have you attended this church? Are you a member of the church you attend? Yes No Address of church you attend: If known, denomination of church you attend: Your Pastor s name: Your Pastor s phone #: List any offices, duties or ministries you are involved with at your church: Educational Information Have you graduated from high school with a valid diploma? Yes No If no, did you obtain a General Education Development (GED) certificate? Yes No If you have a post high school degree(s) and/or training at a trade school, complete the following and provide a photocopy of each transcript: Name of College/Univ./School Location Dates Attended Year Graduated Major Area of Study Degree What is the most advanced degree you have? Are you presently working on another degree? Yes No If yes, explain: Please provide any other information on your educational or training background that you believe will be helpful for PRCA to know about: 3

Employment and Professional Information Are you currently employed? Yes No Have you ever been fired or terminated for cause by a previous employer? Yes No If yes, explain: List any professional organizations of which you are a current member of: Have you had any professional certificate or license revoked or suspended? Yes No If yes, explain: Have you ever received a reprimand or other disciplinary action involving any professional certificate or license? Yes No If yes, explain: Have you ever been bonded? Yes No Where: Amount: Have you ever been refused bond? Yes No If yes, explain: Do you have any health concerns that you feel PRCA needs to be aware of? Yes No If yes, explain: When needed, and when it does not impose an undue hardship, PRCA will provide reasonable accommodations to employees who are qualified for a job with a disability in accordance with the Americans with Disabilities Act (ADA). Do you have any disabilities that you feel PRCA needs to be aware in this regard? Yes No If yes, explain: Why do you wish to be employed by PRCA? List any specific experiences, skills, and other qualifications which you feel would be advantages for the position you are applying for: List any hobbies or areas of special interest that you have: List the abilities and qualities that you feel are your greatest areas of strength: Are there any areas of weakness that your feel you need to improve on? For those applying for a faculty or teaching position, complete Appendix A 4

Employment History Please list the current or most recent first. Name of employer: Address of employer: Name and title of most recent supervisor: Employed from: to Latest position held: Best contact number of employer: Current or most recent salary or hourly rate: Brief description of duties and responsibilities: Reason for leaving: Name of employer: Address of employer: Name and title of most recent supervisor: Employed from: to Latest position held: Best contact number of employer: Current or most recent salary or hourly rate: Brief description of duties and responsibilities: Reason for leaving: Name of employer: Address of employer: Name and title of most recent supervisor: Employed from: to Latest position held: Best contact number of employer: Current or most recent salary or hourly rate: Brief description of duties and responsibilities: Reason for leaving: May PRCA contact all former employers, principals and supervisors listed in the above employment history? Yes No If no, explain: 5

References Professional References Name and address: Best contact phone #: Relationship to you: 1. 2. 3. Personal References (include current pastor) Name and address: Best contact phone #: Relationship to you: 1. 2. 3. Spiritual Conviction Provide a brief personal testimony including when or how you became a born-again Christian: Suppose you were to die today and stand before Almighty God, and He were to ask you. Why should I let you into my heaven? What would you say? 6

Fingerprinting and Possible Criminal History Have you ever been issued a valid fingerprint clearance card by the Arizona Department of Public Safety? Yes No Have you ever been arrested for any offense for which you have been fingerprinted? Yes No If yes, explain: Have you been convicted of a DUI offense in the last five years? Yes No If yes, explain and provide the date(s) this occurred: Have you ever had your driver s license revoked or suspended? Yes No If yes, explain and provide the date(s) this occurred: Have you ever been convicted of a felony? Yes No If yes, explain and provide the date(s) this occurred: Have you ever been investigated for, or accused of, committing a felony? Yes No If yes, explain and provide the date(s) this occurred: Have you ever been investigated for, accused of, suspended from employment, or convicted of any crime involving child abuse, child molestation, child sexual abuse, attempted sexual abuse of a minor, or any other crime involving children? Yes No If yes, explain and provide the date(s) this occurred: 7

Applicant Agreement and Signature I certify that the answers given in this employment application are true and complete to the best of my knowledge. I authorize PRCA to make such investigations and inquires of my personal and employment history and other related matters as may be necessary in arriving at an employment decision. I hereby release PRCA from any and all liabilities in respect to inquires in connection with my application for employment. In the event of my employment, I understand that false and misleading information discovered in this application, or in interviews, may result in immediate termination. I hereby agree and understand my employment at PRCA may be conditioned upon entering into an annual employment contract with PRCA (such contract will be provided for review prior to employment by PRCA). I hereby agree with the attached PRCA Statement of Faith that is a part of this employment application. I hereby agree with the attached PRCA Statement on Marriage, Gender and Sexuality; the PRCA Statement on Final Authority for Matters of Belief and Conduct; and the PRCA statement on the Sanctity of Human Life that are made a part of this employment application. Applicant Signature Date 8

Appendix A: For Faculty/Teaching Applicants Do you currently hold a teaching certificate? Yes No If yes, explain which state(s) and/or organization (provide a photocopy of each certification document): If no, are you presently working on certification? Yes No Do you currently hold an ACSI Educator Certification? Yes No Which grades do you prefer to teach? Which other grades are you prepared to teach? What are your subject areas of expertise? Describe some of your special abilities and talents (i.e. drama, music, sports, coaching, languages etc.): List any professional memberships (including offices held, honors and/or awards received, publications, civic and/or activities): List extra-curricular activities you have participated in and can direct: What do you believe are the main distinctive characteristics of a Christian school? What do you believe are the main objectives of Christian teaching and training of students? What does the Bible teach concerning the responsibility for educating children? 9

Statement of Faith Pusch Ridge Christian Academy is a ministry of the Catalina Foothills Church (CFC) in Tucson, Arizona and is therefore subject to the governing authority of the Session (elder board) of CFC. CFC holds to the classic formations of Presbyterian theology that came out of the Reformation period: The Westminster Confession of Faith and the Westminster Larger and Shorter Catechisms. We believe that the Bible, as comprised by the Old and New Testaments, is the only written Word of God, inspired by the Holy Spirit and without error in the original manuscripts. The Bible is our infallible and divine authority in all matters of faith and life. We believe that there is one God, eternally existent in three Persons: Father, Son, and Holy Spirit. These three are one God, the same in substance, and equal in power and glory. We believe in the deity and humanity 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. Jesus Christ is the sole mediator between God and man. We believe that salvation is by God alone as He sovereignly chooses those He will save. We believe His choice is based on His grace, not on any human individual merit or foreseen faith. We believe that salvation is by grace, through faith alone. We believe that faith without works is dead. We believe in the present ministry of the Holy Spirit, by whose indwelling the Christian is enabled to live a godly life. We believe that at death, the souls of believers pass immediately into glory, and that their bodies rest in the grave until the resurrection when these bodies will be glorified and reunited with the souls in the presence of the Lord forever. Unbelievers will be eternally separated from God in the judgment. We believe in the spiritual unity of all believers in our Lord Jesus Christ. We believe that God is gracious and faithful to His people not simply as individuals but as in successive generations according to His covenant promises. 10

Statement on Marriage, Gender and Sexuality Statements of Belief Pusch Ridge Christian Academy (PRCA) believes that God wonderfully and immutably creates each person as male or female. These two distinct, complementary genders together reflect the image and nature of God (Gen 1:26-27). Rejection of one s biological sex is a rejection of the image of God within that person. PRCA believes that the term marriage has only one meaning: the uniting of one man and one woman in a single, exclusive union, as delineated in Scripture (Gen 2:18-25). We believe that God intends sexual intimacy to occur only between a man and a woman who are married to each other (1 Cor. 6:18; 7:2-5; Heb. 13:4). We believe that God has commanded that no intimate sexual activity be engaged in outside of a marriage between a man and a woman. PRCA believes that any form of sexual immorality (including adultery, fornication, homosexual behavior, bisexual conduct, bestiality, incest, and use of pornography) is sinful and offensive to God (Matt 15:18-20; 1 Cor. 6:9-10). PRCA believes that in order to preserve the function and integrity of PRCA and to provide a biblical role model to its constituency and the community, it is imperative that all parties utilizing PRCA facilities agree to and abide by this Statement on Marriage, Gender, and Sexuality (Matt 5:16; Phil 2:14-16; 1 Thess. 5:22). PRCA believes that God offers redemption and restoration to all who confess and forsake their sin, seeking His mercy and forgiveness through Jesus Christ (Acts 3:19-21; Rom. 10:9-10; 1 Cor. 6:9-11). PRCA believes that every person must be afforded compassion, love, kindness, respect, and dignity (Mark 12:28-31; Luke 6:31). Hateful and harassing behavior or attitudes directed toward any individual are to be repudiated and are not in accord with Scripture nor the policies of PRCA. Statement on Final Authority for Matters of Belief and Conduct PRCA believes that the Bible itself, as the inspired and infallible Word of God, speaks with final authority concerning truth, morality and the proper conduct of mankind and is the sole and final source of all that PRCA believes. PRCA is a mission of the Catalina Foothills Church (CFC) in Tucson, Arizona and is therefore subject to the governing authority of the Session (elder board) of CFC. The doctrinal standards of CFC are set forth in the Westminster Confession of Faith along with the Larger and Shorter Catechisms of this Confession. Additionally, the form of government, the rules of discipline and the directory of worship of CFC are set forth in its Book of Church Order. Statement on the Sanctity of Human Life PRCA believes that all human life is sacred and created by God in His image. Human life is of inestimable worth in all its dimensions, including pre-born babies, the aged, the physically or mentally challenged, and every other stage or condition from conception through natural death. It is PRCA policy to defend, protect, and value all human life (Ps. 139). 11

Reference Form Thank you for agreeing to complete this reference form on my behalf. Upon completion, please mail or fax it to the following address: Pusch Ridge Christian Academy, Inc. Grammar School 6450 N. Camino Miraval Tucson, Arizona 85718 Phone: 520.529.7080 Fax: 520.529.7140 Name of Applicant: Date: Address of Applicant: Position applicant is applying for: The balance of this form to be completed by the person providing the reference: How long have you known the applicant? What was or is your relationship with applicant? If a former employer, principal or supervisor; please comment on the applicant s job performance, ability to take direction, punctuality, absenteeism, cooperation among peers, adjustments to new or changing circumstances and overall personality. If applicant is applying for a faculty or teaching position, please comment on teaching ability, command of the classroom, scholarship, enthusiasm and love of students. Please briefly describe the best abilities and qualities of the applicant: Please briefly describe the areas the applicant needs to improve on: Any other comments about the applicant: Name (please print): Signature: Employer (if applicable): Position: May PRCA contact you? Yes No If yes, best phone #: 12