Borculo Christian School Application
Personal/Contact Information:
Name (First, Middle, Last)
Your answer
Permanent Address
Your answer
Current Address (if different than above)
Your answer
Best phone number to be reached
Your answer
Email Address
Your answer
Church (Denomination) Affiliation
Your answer
Position you are applying for:
Your answer
Educational Training - Secondary/High School
Name of Secondary/High School
Your answer
Address of Secondary/High School
Your answer
Length of time you attended Secondary/High School
Your answer
Date of graduation from Secondary/High School
Your answer
Educational Training - College/University
Name of College/University Attended
Your answer
Address of College/University
Your answer
Length of time you attended College/University
Your answer
Date of graduation from College/University
Your answer
Educational Training - College/University
Name of College/University attended:
Your answer
Address of College/University attended:
Your answer
Length of time you attended College/University:
Your answer
Date of graduation from College/University:
Your answer
Teaching Experience
Please provide the name and location of the school(s) in which you have taught. Please list the most recent first.
Most Recent Teaching Experience
Name and Location
Your answer
Was it a Christian School?
Grade and/or subject(s) taught:
Your answer
Number of years taught at the school:
Your answer
Reason for leaving this position:
Your answer
2nd Most Recent Teaching Experience
Name and Location:
Your answer
Was it a Christian School?
Grade and/or subject(s) taught:
Your answer
Number of years taught at school:
Your answer
Reason for leaving this position:
Your answer
3rd Most Recent Teaching Experience:
Name and Location:
Your answer
Was it a Christian School?
Grade and/or subject(s) taught:
Your answer
Number of years taught at school:
Your answer
Reason for leaving this position:
Your answer
References:
Reference #1:
Name:
Your answer
Address:
Your answer
Occupation:
Your answer
Phone Number:
Your answer
Reference #2:
Name:
Your answer
Address:
Your answer
Occupation:
Your answer
Phone Number:
Your answer
Reference #3:
Name:
Your answer
Address:
Your answer
Occupation:
Your answer
Phone Number:
Your answer
Certifications:
Do you have a valid teaching certificate? (Describe):
Your answer
College Major(s):
Your answer
College Minor(s):
Your answer
Criminal History:
Have you ever been convicted of a felony or received deferred adjudication?
Do you have any charges pending?
Are there any other convictions that could be in any way related to your job duties as an employee of Borculo Christian School?
Explain if you answered any of the above questions with a yes:
Your answer
Additional Application Questions:
Please share what Christ means to you and how this relationship impacts your life.
Your answer
What does educating from a Reformed perspective mean to you?
Your answer
If we asked your students to provide us with three words (or short phrases) that describe your teaching style, what would they be?
Your answer
Based on your knowledge of Borculo Christian School, describe why you would like to teach here.
Your answer
I certify that the answers given by me in this application are true and correct without omissions of any kind. I agree that Borculo Christian School shall not be held liable in any respect if my employment is terminated because of false statements, false answers, or omissions made by me in this application. I authorize BCS to make any investigation of my personal or employment history and authorize any former employer, person, firm, corporation, or government agency to disclose to the school any information regarding me. In consideration of the school's review of this application, I hereby release BCS as well as the providers of information from any liability and for any damage that may result from the furnishing and receiving of this information. A copy of this authorization and release is as valid as the original and should be recognized as such.
Signature (Electronic):
Your answer
Date:
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