THE KING’S ACADEMY

1015 S. Ebenezer Road Florence, SC29501 Phone (843) 661-7464 Fax (843) 661-7647

Staff Employment Application

Please print the following information. All answers should be as complete as possible. Responses will be held in confidence. All applications will remain on file for a minimum of two (2) years from date of application.

Personal Information:

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NamePhone Fax

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Social Security NumberE-mail

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Mailing Address

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CityStateZip

Employment History. Please list last three (3) employers:

1.____________

Current (for most recent) EmployerPosition

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AddressDates of Employment

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Reason Left

2.______

EmployerPosition

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AddressDates of Employment

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Reason Left

3.______

EmployerDates of Employment

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AddressPosition

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Reason Left

Health Information:

1. Do you consider your health adequate for this position?YesNo

Academic Information: (Attach additional pages as needed)

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Highest Degree HeldConcentration AreaDate Awarded

Please list all post-secondary institutions attended:

InstitutionDate(s) Attended MajorMinor GPA #Credits Degree Earned

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Please share your educational philosophy. ______

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Spiritual Information: (Attach additional pages as needed)

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Name of church currently attendingDenominationPastor’s Name

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AddressPhone Number

Have you accepted Jesus Christ as your personal Lord and Savior?Yes No Date ______

What is God saying to you and doing in your life at the present time? ______

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What does the statement “Being led by the Spirit” mean to you? ______

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What does the Great Commission personally mean to you as a teacher? ______

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Describe any type of Christian service in which you have been involved. ______

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Spiritual Information: continued

Please share your Statement of Faith. ______

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ChristianSchool Information: (Attach additional pages as needed)

What do you consider to be the distinctive characteristics of the Christian school?

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How does this differ from public or non-Christian schools? ______

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Please comment on the Lord’s leading in your life toward working in a Christian school. ______

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Please describe all past experience in Christian schools. ______

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Placement Information:

What areas do you feel qualified to work? ______

What other school activities could you sponsor or assist? ______

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Other Information:

Describe any other courses or training completed that would relate to the position for which you are applying. ______

Give any additional experience you have had in the education or care of children. ______

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Have you ever been charged or arrested for a misdemeanor or felony?YesNo

References: Please list three (3) personal

1.______

NameOccupation

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AddressPhone

2.______

NameOccupation

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AddressPhone

3.______

NameOccupation

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AddressPhone

References: Please three (3) professional.

1.______

NameOccupation

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AddressPhone

2.______

NameOccupation

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AddressPhone

3.______

NameOccupation

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AddressPhone

The King’s Academy selects qualified persons for employment without regard to race, sex, or national origin, but does, however, reserve the right to use established selection criteria in support of its goals and objectives. All information submitted will be held in confidence.

I have read the Statement of Faith and Mission Statement of The King’s Academy and am in agreement with its doctrine and principles. Furthermore, I hereby state that all information on this application and presented by me in the application process is true and correct.

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Signature of ApplicantDate

FOR OFFICE USE ONLY

ItemDate Accomplished

Application______

Transcripts______

Personal References______

Professional References______

Certification______

Interview (1)______

Interview (2)______

Letter of Employment/Non-Employment______

Letter of Intent______

Contract Signed______

Payroll Information______

COMMENTS:

1