FIRST NAME MIDDLE LAST / DATE
STREET / HAVE YOU PREVIOUSLY BEEN EMPLOYED BY JCS?
YES NO
CITY / IF YES MONTH YEAR
FROM:______
STATE / ZIP CODE / TO:______
TELEPHONE NUMBER / SOCIAL SECURITY NUMBER
EMERGENCY CONTACTADDRESS TELEPHONE NUMBER
WILL VISA OR IMMIGRATION STATUS YESCOMMENT
PREVENT LAWFUL EMPLOYMENT?NO
PHONE / LIST RELATIVES AT JCS

EDUCATIONAL RECORD

NAME OF COLLEGE(S) / LOCATION / DATE(S) ATTENDED / DEGREE(S) / TEACHING MAJOR(S) / TEACHING MINOR(S) / QTR
UNITS

STUDENT TEACHING EXPERIENCE

CITY ______SCHOOL ______GRADE ______SUBJECT ______DATE ______

NUMBER OF YEARS OF CERTIFIED TEACHING EXPERIENCE PUBLIC ______PRIVATE ______

TEACHING EXPERIENCE (MOST RECENT FIRST; INDICATE F=FULL TIME; P=PART TIME; S=SUBSTITUTE)

SCHOOL NAME/
LOCATION / GRADES AND/OR SECONDARY
SUBJECTS TAUGHT / DATES
FROM TO / COACHING / ACTIVITY
ASSIGNMENTS

PROFESSIONAL INFORMATION (LIST BELOW - TEACHING, ADMINISTRATIVE, AND SPECIAL CERTIFICATES HELD)

TYPE OF CERTIFICATE / DATE ISSUED / DATE EXPIRES / STATE

REFERENCES: (PROFESSIONAL)

NAME / POSITION / ADDRESS / PHONE

REFERENCES: (PERSONAL, PASTOR or ELDER)

LIST ENDORSEMENTS QUALIFIED TO TEACH (Mark “E” for Elementary, “MS” for grades 6-8)

______/ ______/ ______
______/ ______/ ______

LIST SPORTS YOU ARE QUALIFIED TO COACH

______/ ______/ ______
______/ ______/ ______

LIST SCHOOL ACTIVITIES YOU COULD DIRECT

______/ ______/ ______
______/ ______/ ______

ON A SEPARATE SHEET, PLEASE COMMENT ON THE FOLLOWING:

Please explain why you wish to teach at Jenison Christian school.

In your view, how do you make sure every student can say “I belong to this class”?

Who is Jesus Christ to you and how would you or do you help make Him real for your students?

Explain your view of successful teaching, and define the most important factors for a student to be successful.

Describe your view of how you would be a promoter of the school.

Explain your view of technology and its role in your classroom.

Describe your classroom management style and your view of discipline.

PERSONAL DATA

Referral Source:FriendRelativeCSI websiteOther ______
Have you ever been convicted of crimes involving violence, dishonesty, breach of trust, child abuse, substance abuse or moral turpitude?
YesNo
If yes, indicate the nature of the offense, date, court, and disposition: ______

PHYSICAL DATA

Do you have any sensory, mental or physical handicaps, which would prevent you from performing the job for which you are applying?
YesNo
If yes, explain: ______

PLEASE SUBMIT THE FOLLOWING ITEMS TO THE JENISON CHRISTIAN OFFICE, 7726 GRACELAND DR, JENISON, MI 49428

  • THIS APPLICATION,
  • A COVER LETTER
  • RESUME,
  • AT LEAST 2 WRITTEN RECOMMENDATIONS (for applicants with less than 5 years of experience),
  • COPIES OF TRANSCRIPTS,
  • A COPY OF ANY CURRENT PROFESSIONAL TEACHING CERTIFICATE (must qualify for Michigan initial certificate)

(This may also be emailed to Principal, Tim Paauw, at . Please note: If submitted by email, your name on the signature lines along with your email address will be counted as an electronic signature for this application purpose).

APPLICANT IS RESPONSIBLE FOR PROVIDINGCOPIES OF TEACHING CERTIFICATES AND TRANSCRIPTS.

We hire only United States citizens and aliens lawfully authorized to work in the United States. If hired, you will be required to complete an Employment Eligibility Verification supplied by the Immigration and Naturalization service and will be asked to provide a document(s) to verify your citizenship or legal authorization to work in the United States.

As a religious educational institution, JenisonChristianSchool is permitted and reserves the right to prefer employees on the basis of religion. Title VII, Section 702-703, U.S. Civil Rights Act of 1964, as amended: Rev. Code of Washington 49.60.040.

PURPOSE OF JENISONCHRISTIANSCHOOL

Jenison Christian School is a well established, society owned preschool through eighth grade educational institution committed to providing its students Christ centered education through a biblically based and standards (State of Michigan) curricula.

BELIEF STATEMENT

We believe the scriptures of the Old and New Testaments to the Word of God, the only infallible rule of faith and practice, and that this divine Word of God has been most clearly and consistently interpreted in the Reformed creeds, namely the Heidelberg Catechism, the Cannons of Dordt, and the Belgic Confession.

Do you Agree with the JCS Belief Statement?YesNo
Have you accepted Jesus Christ as your Lord and Savior? ______
Church Home ______Pastor’s Name ______
Address ______Phone ______

AGREEMENT

I hereby authorize Jenison Christian School (JCS) to inquire as to my performance and/or record of any or all of my former employers and my church. Furthermore, I authorize JCS to request a criminal history check with local or state police, or FBI. I understand that any false statements made on this application will be sufficient cause for discharge.
______
Signature

JENISON CHRISTIAN SCHOOL IS AN EQUAL OPPORTUNITY EMPLOYER AND IS SEEKING ENTHUSIASTIC DISCIPLES OF JESUS CHRIST WHO WILL JOIN US IN CREATING A LEARNING ENVIRONMENT WHERE EVERY PERSON FEELS SAFE AND IS REGARDED WITH RESPECT AND DIGNITY.