EmploymentEmployment ApplicationStep 1 of 7 - Your Information14%Your InformationName(Required) First Last Address(Required) Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Date Available(Required) Month Day YearHow did you hear about our school and possible openings?(Required)Position(s) desired(Required) Full time Part time SubstituteIndicate schedule preference:(Required)Indicate areas of interest(Required) Elementary Middle School Preschool Athletics OtherIndicate grade or subject preferences for Elementary(Required)Indicate grade or subject preferences for Middle School(Required)Indicate grade or subject preferences for Preschool(Required)Indicate grade or subject preferences for Athletics(Required)Please specify(Required)Educational BackgroundInclude all post high school degrees and in-process degrees.Institution(Required)Degree Level(Required)Date received(Required)GPA(Required)Institution 2Degree Level 2Date received 2GPA 2Institution 3Degree Level 3Date received 3GPA 3Institution 4Degree Level 4Date received 4GPA 4Institution 5Degree Level 5Date received 5GPA 5Teaching Or Other CertificationInclude in-process certifications.Issuing Institution(Required)Certification level(Required)Date received(Required)Renewal Date(Required)Institution issuing certification 2Certification level 2Date received 2Renewal Date 2Institution issuing certification 3Certification level 3Date received 3Renewal Date 3Institution issuing certification 4Certification level 4Date received 4Renewal Date 4Education CoursesInclude courses that are currently in-process.Institution(Required)Course(Required)Unit Total(Required)Date completed(Required)Institution 2Course 2Unit Total 2Date completed 2Institution 3Course 3Unit Total 3Date completed 3Institution 4Course 4Unit Total 4Date completed 4Institution 5Course 5Unit Total 5Date completed 5Expertise(Required)Special Abilities(Required)What areas do you feel are your strengths and weaknesses?(Required)Technology Skills(Required)Textbook Preference(Required)Future Plans(Required)Personal PhilosophyAnswer each of the following questions with a short paragraphWhy do you want to teach at this school?(Required)What do you consider to be a proper classroom environment for learning?(Required)What is your personal philosophy of classroom discipline? What role does classroom management play in today’s classroom?(Required)Please summarize any additional information you would like to present regarding your candidacy for this position.(Required)ReferencesPlease do not list family members or relatives for referencesPersonal ReferencesGive three references who are qualified to speak about you as a role model.Name(Required)Relationship(Required)Phone(Required)Email(Required) Name 2(Required)Relationship 2(Required)Phone 2(Required)Email 2(Required) Name 3(Required)Relationship 3(Required)Phone 3(Required)Email 3(Required) Professional ReferencesGive three references who are qualified to speak of your professional training and experience. List your current or most recent principal or supervisor first.Name(Required)Relationship(Required)Phone(Required)Email(Required) Name 2(Required)Relationship 2(Required)Phone 2(Required)Email 2(Required) Name 3(Required)Relationship 3(Required)Phone 3(Required)Email 3(Required) Background CheckHave you ever been convicted of a crime?(Required) Yes NoA conviction is not an automatic bar to employment. Each case will be considered on its own merits. Do not include any arrests that did not result in conviction. Do not include any convictions for which the record has been judicially ordered sealed, expunged or statutorily eradicated. Do not include any misdemeanor conviction for which probation has been successfully completed and the case has been judicially dismissed under Penal Code Section 1203.4. Do not include any arrests for which a pretrial diversion program has been successfully completed under Penal Code Sections 1000.5 and 1001.5. Do not include a conviction for the use of marijuana if that conviction was more than two years ago.Please explain and state the charge, the court, the date and the disposition of the case.(Required)Was the crime a felony or a misdemeanor?(Required)Did you serve any time in jail or prison?(Required)Please state when, where and how long:(Required)Are you currently out on bail or on personal recognizance pending trial?(Required) Yes NoPlease explain and give dates.(Required)Have you ever been dismissed, resigned to avoid being dismissed, or been asked to resign from a position?(Required) Yes NoPlease explain.(Required)Have you ever been charged in civil or criminal proceedings with improprieties regarding children?(Required) Yes NoIndicate the nature of the suit, offense, date, court and disposition.(Required)Have you ever been convicted or charged of any offense involving dishonesty, breach of trust, stealing, any type of moral impropriety, or any type of felony?(Required) Yes NoIndicate the nature of offense, date, court and disposition.(Required)Essential Job FunctionsAre you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodations?(Required) Yes NoDescribe the functions that cannot be performed. Is there anything that the school can do to reasonably accommodate your needs so that you would be qualified to perform the duties and responsibilities of this position?(Required)Applicants Certification and AgreementCheck the box next to each section and sign belowAgreement 1(Required) I fully agree to the following statements and certify that I have understood and agree to all of the following statements.(Required)I hereby certify that the facts set forth in this application are true and complete to the best of my knowledge. I understand that discovery of falsification on 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 that I will be paid and receive benefits only through the day of release. I authorize the school to thoroughly investigate references, work records, evaluations, education, social media (such as Facebook), and other matters related to my suitability for employment. I consent to and authorize references and former employers and co-workers to disclose to the school any and all employment records, performance reviews, letters, reports and other information related to my employment, without giving me prior notice of such disclosure. In addition, I hereby release the school, my former employers, coworkers, 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 fingerprint check by the FBI and possibly other federal and state authorities. I agree to fully cooperate in providing and recording as many sets of fingerprints as are necessary for such an investigation. I understand that the school does not discriminate in its employment practices against any person because of race, color, national or ethnic origin, gender, age or disability. I understand that this is only an application for employment and that no employment contract is being offered at this time. Should an offer of employment be made, I hereby certify that I am able to provide documentation that verifies my eligibility to work in the United States.Transcripts(Required) Drop files here or Select filesAccepted file types: jpg, png, pdf, doc, docx, Max. file size: 10 MB. Per the application instructions, please attach electronic copies or scan of your transcripts (unofficial or official).Applicant’s Name(Required) First Last Electronic Signature(Required)Date(Required) Month Day YearΔ AboutAbout UsAt a GlanceHistoryStudent MinistriesOur TeamEmployment We'd be honored to have you at Life PrepYou'll fit right inFill this out and we'll contact you for more information about joining our community.Name(Required) First Last Phone(Required)Email(Required) Δ