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Employment Application

Step 1 of 4

Name*
First Last
What position are you applying for?*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
Current Church*
Name of Church Years of Attendance Denominational Preference

Educational Background*
College/University Major Degree Year of Graduation
Teaching Experience
Please list your most recent experience first. This section is only required for individuals seeking a faculty/teaching position.
School Name & City, State Grades/Subjects Taught Dates of Employment
Do you have a current ACSI Teaching Certificate?*
- Yes
- No
If Yes, what level and what is the expiration date?
Level Expiration Date
Do you have a current state teaching certificate?*
- Yes
- No
If Yes, what state, level, and what is the expiration date?
State Level Expiration Date
Extra-Curricular Support
Please list any extra-curricular activities that you would be interested in leading, coaching or assisting during the school year. Please list specific roles desired.
Activity Role/Position

Christian Testimony*
Please share your Christian testimony by answering the following questions: 1. What does it mean to be a Christian? 2. Who is Jesus? 3. How have you grown in your faith over the past year?
Christian education*
Please explain your desire to work in Christian education and specifically, at Zion Christian Academy.

Personal References*
List three (non-family) references who are qualified to speak to your character and spiritual life, beginning with your current pastor.
Name Phone Email Years Known
Professional References*
List two (non-family) references who are qualified to speak to your professional training and experience, beginning with your current supervisor.
Name Phone Email Years Known
Reference Check*
I grant Zion Christian Academy permission to contact my references on or after the following date:
MM slash DD slash YYYY
Application Certification & Agreement*
I understand that Zion Christian Academy does not discriminate in its employment practices against any person because of race, color, national or ethnic origin, gender, age, or disability.

I hereby certify that the facts set forth in this initial application are true and complete to the best of my knowledge. I understand that the discovery of 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 that I will be paid and receive benefits only through the day of release.

I authorize Zion Christian Academy to thoroughly investigate references, work records, evaluations, educations, and other matters related to my suitability for employment without giving me prior notice of such investigation.

In addition, I hereby release Zion Christian Academy, 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, and I waive the right to ever personally view any references given to Zion Christian Academy.

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 my fingerprints as are necessary for such an investigation. I authorize Zion Christian Academy to conduct a criminal background records check.

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.
I agree to the privacy policy.
Name
First Last

School Name & City, State	Grades/Subjects Taught	Dates of Employment

College/University	Major	Degree	Year of Graduation

Activity	Role/Position

Name	Phone	Email	Years Known

Name	Phone	Email	Years Known