Position Desired

Please choose all that apply

Elementary (K5-5th)

Middle/ High School (6th -12th)

Date Available to Begin Work

YYYY

PERSONAL INFORMATION

Full Name

First Name

Last Name

Sex

Male

Female

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

Email Address

Birthday

YYYY

Marital Status

Please Select One

Do you have children?

If yes, please select ages

Birth to 5 years

6 to 12 years

13+

Do you have a valid driver's license?

Please give License Number and Class of license

Are you a Christian?

What church do you attend?

Are you a regular attendee?

In what areas of your church are you involved?

Pastor's Name

EDUCATION

Please select your last year in High School

Please Select Certificate Received

Did you Attend or are you Currently Enrolled in College?

How many Semesters/Years?

Highest Degree Received:

EXPERIENCE

Do you have experience with groups of children (Indicate ages of children, your duties, dates and time you worked in this position, and reason for leaving)

(Indicate ages of children, your duties, dates and time you worked in this position, and reason for leaving)

Are you especially trained or experienced in any trade or profession? If Yes, please explain.

Do you have any special talents or musical abilities?

List any educational advantages that you have had, including opportunities to travel.

List in order of preference the core subjects and grades you are best qualified to teach

(Teaching Applicants Only)

Please select all elective classes that you would be capable and interested in teaching

(Teaching Applicants Only)

Bible

Art

Voice (Singing)

Physical Education

Computer Lab

Are you familiar with Abeka Book?

Are you familiar with Bob Jones Curriculum?

Have you had CPR training within the past two years?

If you answered "Yes" to the above question please give expiration date

YYYY

Have you had first aid training within the past three years?

If you answered "Yes" to the above question please give expiration date

YYYY

Have you attended/completed any childcare training courses?

List a reference that is qualified to speak of your professional training and experience.

Please include Name, Position, Company Name or Address, and Phone Number

Employment History

PLEASE LIST EMPLOYMENT HISTORY FOR THE PAST THREE YEARS, BEGINNING WITH YOUR MOST CURRENT OR LAST EMPLOYER. If you have been unemployed during any time within the past 3 years, list how you spent your time, e.g. student, housewife, unemployed, etc.

Employment Record; Current of Most Recent

Start Date (Approximately)

YYYY

Name and Address of Employer

Position

Number of Years Employed

Reason for leaving

(If currently employed enter N/A)

Employment Record (If required 3 years history was not met by previous record)

Start Date (Approximately)

YYYY

Name and Address of Employer

Position

Number of Years Employed

Reason for leaving

Employment Record (If required 3 years history was not met by previous records)

Start Date (Approximately)

YYYY

Name and Address of Employer

Position

Number of Years Employed

Reason for leaving

Living Word Christian Academy's Statement of Faith

Please read the following Living Word Christian Academy Statement of Faith. 1) We believe that the Bible is the inspired Word of God. The New Covenant, as recorded in the New Testament, we accept as our infallible guide in matters pertaining to conduct and doctrine. 2) We believe that there is one God, eternally, existent in three persons: God the Father, Son, and the Holy Spirit. 3) We believe that salvation can only be achieved through the confession of sin, and belief that Jesus Christ died for our sin and rose from the dead.

Are you in agreement with the above statements of faith?

If no, what areas do you disagree with?

Living Word Christian Academy requires every employee accept and follow a lifestyle commitment based upon Biblical principles. As a Christian School representing Jesus Christ in our community, we require employees to be born-again Christians and to live their lives as Christian role models. As Christian leaders on staff at LWCA, we expect our employees to be Christ-like examples to students, parents, administration and one another, both on and off the job. A Christian lifestyle should reflect the Biblical perspective of integrity and appropriate personal and family relationships, business conduct, and moral behavior. Any moral misconduct as defined by Scripture violates the aforementioned occupational requirement of employees being Christian role models.

I understand and am willing to comply with the above statements on Christian Lifestyle.

I do not agree with above statements on Christian Lifestyle.

Security

Have you ever been shown by credible evidence, e.g., a court order or jury, a department investigation or other reliable evidence to have abused, neglected, or deprived a child or adult or to have subjected any person to serious injury as a result of intentional or grossly negligent misconduct?

If you answered "Yes" to the above question please explain

Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor Traffic Violations?)

The term “Convicted” includes entering into a plea agreement including “no contest” pleas, or a deferred sentence or deferred judgment arrangement in connection with a criminal charge. If so, please attach a statement of explanation, including nature of offense, date, court where conviction was entered, sentence of disposition and any other relevant information.

If you answered "Yes" to the above question please explain

Have you ever been the subject of an investigation of an allegation of physical abuse, sexual misconduct, sexual harassment or an offense relating to children, criminally charged, or been the subject of a civil lawsuit involving physical abuse, sexual misconduct, sexual harassment, or an offense relating to children?

If you answered "Yes" to the above question please explain

Have you ever been subjected to discipline or dismissal from employment or volunteer service by any church, or other organization as the result of an allegation or charge of physical abuse, sexual harassment, or an offense relating to children?

If you answered "Yes" to the above question please explain

ACKNOWLEDGMENTS

The Americans with Disabilities Act of 1991, legally requires reasonable accommodations to individuals with disabilities. The reasonable accommodation requirement applies to the application process, any pre-employment testing, interviews and actual employment, but ONLY if the program supervisor is made aware that an accommodation is required. If you are disabled and require accommodation, you may request it at ANY time DURING THE INTERVIEW PROCESS. You are obligated to inform the program director of your needs If it will impact your ability to perform the job for which you are applying.

Having read the job description for the position you are applying, are you in all respects, able to adequately perform the duties as described?

If you answered "No" to the above question please explain

I understand that Living Word Christian Academy does not discriminate in its employment practices against any person because of race, color, national or ethnic origin, gender, age, or disability