Faculty Position Applying For:*

Full-time Teacher

Teacher's Assistant

Admissions Director/Office

Substitute Teacher/Assistant

Extended Care

Bus Driver

Other

Other*

Select grade level preference

CRCS is a ministry of Calvary Road Baptist Church and we require that all applicants be a member of a Bible-believing church. Be sure to include full addresses and phone numbers of previous employers and references. Please note that this application has sections for teaching (faculty) and non-teaching (staff) applicants. You only need to fill out sections that apply to the type of position you are applying for.

PERSONAL INFORMATION

Full Name*

Home Phone*

Current Address(street/city/state/zip)*

Permanent Address(street/city/state/zip)*

Email*

Cell Number*

STAFF (NON-TEACHING) APPLICANTS ONLY

Are you able to work and do your job without direct supervision?

Yes

No

Can you keep accurate files?

Yes

No

Can you interact with the general public in a service-minded manner? (i.e. parents, students, salesman, etc.)

Yes

No

Other*

EDUCATION (All Applicants)

List all colleges and universities attended. If applying for a position that does not require a degree please note the highschool you graduated from. Include degree work currently in progress. Please have official transcripts forwarded to CRCS.

School and Location

From

To

Major

Minor

Degree

Add Remove

Special courses or training

Hobbies, interest, and/or talents

Academic and athletic honors, extra curricular activities, travel, and offices held

NON-TEACHING WORK EXPERIENCE (All Applicants)

Employer

Address

City

State/Province

Zip/Postal

Date started

Date ended

Position

Reason for leaving

Supervisor

Add Remove

TEACHING EXPERIENCE (Teaching Applicants Only)

Start with your present or most current teaching job. (Do not include practice teaching.)

School name

Phone

Location

Date started

Date ended

Position

Grade level

Supervisor

Add Remove

TEACHING CERTIFICATION AND PRACTICE TEACHING (Teaching Applicants Only)

Type of certificate

If not certified, please explain.

Information

Practice teaching

Supervisory teacher

Phone

Supervisory professor

Phone

Add Remove

Total years in paid teaching positions

PERSONAL REFERENCES (All applicants)

Please list one pastoral reference and two non-relative references who are qualified to speak of your personal background, Christian life, training, and experience.

Reference

Name

Phone

Address

Zip code

Email

Is this person a christian?

Yes

No

How long have you known this person?

Relationship to you

Add Remove

PERSONAL STATEMENTS

1.(All applicants) Please give a summary of your Christian salvation experience and personal relationship with the Lord Jesus Christ.*

2.Of what church are you a member?*

Have you been baptized by immersion?*

Yes

No

Please briefly describe your church attendance and any ministries you have served in.*

3.(All applicants) How would you personally respond to a student asking the question “How do I become a Christian”?*

4.(Teaching applicants only) In one paragraph briefly state your Christian philosophy of education.*

5(Teaching applicants only) In one paragraph discuss your general teaching approach in the classroom.*

6.(All applicants) Do you use tobacco, alcoholic beverages, or illegal drugs?*

Yes

No

If yes, please explain.*

7.(All applicants) Would you uphold us in reference to morals, dress, and Christian conduct?*

Yes

No

If no, please explain.*

8.(All Applicants) Do you subscribe without reservation to the Statement of Faith?*

Yes

No

If no, please explain.*

9.If your convictions in this regard change, do you promise to discuss any changes with the Administrator?*

Yes

No

BACKGROUND INFORMATION AND SIGNATURE (All Applicants)

SWORN DISCLOSURE STATEMENT

1. Have you ever been convicted of or are you the subject of pending charges for any of the following offenses: murder; malicious wounding by mob; abduction; abduction for immoral purposes; assault and bodily wounding; robbery; car jacking; extortion by threat; any felony stalking violation; sexual assault; arson; burglary; any felony violation relating to possession or distribution of drugs; drive by shooting; use of a machine gun in a crime of violence; aggressive use of a machine gun; use of a sawed-off shotgun in a crime of violence; pandering; crimes against nature involving children; incest; taking indecent liberties with children; abuse and neglect of children, including failing to secure medical attention for an injured child; obscenity offenses; possession of child pornography; electronic facilitation of pornography; abuse and neglect of incapacitated adults; employing or permitting a minor to assist in an act constituting an obscenity or related offense; delivery of drugs to prisoners; escape from jail; felonies by prisoners; within the Commonwealth or any equivalent offense outside the Commonwealth?*

Yes(convicted)

Yes(pending)

No

Crimes*

2. Have you been convicted of or are you the subject of pending charges for any other felony in the five years prior to the application date for licensure, registration, employment, or approval?*

Yes(convicted)

Yes(pending)

No

3. Have you ever been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth?*

Yes

No

I understand that Calvary Road Christian School does not discriminate in its employment practices against any person because of sex, race, color, national or ethnic origin, gender, or handicap. I further understand that any offer of employment is conditioned on the proof or legal authority to work in the U.S.

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 discovery of falsification of any statement or significant omission of fact during any phase of the hiring process may prevent me from being hired of if hired may subject me to immediate dismissal. Further, I affirm that all of the above statements in the sworn disclosure statement are true and correct and I understand that if I make a materially false statement regarding any such offense I shall be guilty of a Class 1 misdemeanor.

I authorize Calvary Road Christian School to inquire about my work and personal history and to verify all data given in my application for employment, related papers, and my oral interviews. I authorize the release and giving of any information requested by Calvary Road Christian School such as employment records, performance reviews, and personal references. I release any person, organization, or company from liability or damage which may result from furnishing the information requested. I further waive the right to ever personally view any references given to Calvary Road Christian School.

I authorize Calvary Road Christian School to perform criminal history record checks and child and abuse central registry checks with the Commonwealth of Virginia. I understand that employment is prohibited if I have been convicted of any of the offenses specified in the above sworn disclosure statement or if I have been the subject of a founded complaint of child abuse or neglect. Further, I understand that Calvary Road Christian School reserves the right to deny employment based on any other felony charges that I have committed

I further certify that I have carefully read and do understand the above statements.

About Calvary Road Christian School!

Application for Employment