Crossroads Discovery Academy Employment Application
We are currently seeking assistant teachers and substitute teachers.
PERSONAL INFO
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
WORK INFO
Position Desired
*
Date available to start
*
What hours and days are you available to work?
*
If hired, what salary or rate of pay do you expect to receive?
*
Are you seeking permanent or temporary work?
*
Please select all that apply.
Permanent
Temporary
Are you legally eligible to work in the United States? (Proof of eligibility will be required upon offer of employment)
*
Please select one option.
Yes
No
Select Option
Yes
No
Are you over the age of 18? (If no, you may be required to provide authorization from a parent or guardian)
*
Please select one option.
Yes
No
Select Option
Yes
No
Have you ever applied to work or worked for Crossroads Baptist Church or Crossroads Discovery Foundation before?
*
Please select one option.
Yes
No
Select Option
Yes
No
If yes, please give date and position for which you applied
EDUCATIONAL BACKGROUND
High School: Please provide Name/Location of school; Year Graduated; Degree; Areas of Concentration
*
College: Please provide Name/Location of school; Year Graduated; Degree; Areas of Concentration
Vocational School/Other: Please provide Name/Location of school; Year Graduated; Degree; Areas of Concentration
List any courses completed or certification obtained relevant to childcare training (CPR, First Aid, Child Development, etc.)
List other skills or technical training that may benefit you in the role for which you are applying.
EMPLOYMENT HISTORY (Please begin with most recent)
Employment Date(s); Employer & Supervisor's Name; Address & Phone Number; Job Title and primary responsibilities; Reason for leaving
*
Employment Date(s); Employer & Supervisor's Name; Address & Phone Number; Job Title and primary responsibilities; Reason for leaving
Employment Date(s); Employer & Supervisor's Name; Address & Phone Number; Job Title and primary responsibilities; Reason for leaving
Employment Date(s); Employer & Supervisor's Name; Address & Phone Number; Job Title and primary responsibilities; Reason for leaving
May we contact the employers listed above?
*
Please select one option.
Yes
No
Select Option
Yes
No
BACKGROUND INFO
Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor traffic violations), including convictions based on a plea of guilty or no contest?
*
Please select one option.
Yes
No
Select Option
Yes
No
If yes, please explain, including the nature of the offense, date, court location, and other information that would be helpful to us in considering your application.
Has a report of child maltreatment ever been made against you?
*
Please select one option.
Yes
No
Select Option
Yes
No
If yes, please explain.
Has a court ever denied parental, custodial, or visitation rights as a result of neglect or abuse of a child?
*
Please select one option.
Yes
No
Select Option
Yes
No
If yes, please explain.
While employed in a childcare program, have you ever been the subject of disciplinary action or been responsible for a child care facility receiving an administrative or disciplinary action?
*
Please select one option.
Yes
No
Select Option
Yes
No
If yes, please explain.
REFERENCES (Please list three personal references (not related to you) that we may contact.
Reference #1: Name, Address, Phone Number, Years known, Relationship
*
Reference #2: Name, Address, Phone Number, Years known, Relationship
*
Reference #3: Name, Address, Phone Number, Years known, Relationship
*
OTHER INFO
What are your career goals and objectives?
*
Why do you feel you would be a good fit for employment at Crossroads Discovery Foundation?
*
Please provide any other information that you feel will help us in considering your application for employment.
*
Please attach resume
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Description
We are currently seeking assistant teachers and substitute teachers.
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