3900 SE State Road 100, Starke, FL 32091 Ph 352.473.4040 Fax 352.473.2024 www.hopechristianacademy.info “Helping Children Achieve” Instructional Staff Application Hope Christian Academy exists to provide a distinctive, biblically based education in a nurturing environment through which students are instilled with godly character, inspired to excel, and prepared for a life of enduring commitment to Christ. The school recruits, hires, trains, assigns personnel, promotes, and compensates employees without regard to race, color, national origin, age, sex, or disability. All employment decisions are made on the basis of merit and job requirements. Your interest in being a part of such a ministry at Hope Christian Academy is appreciated. We invite you to fill out this application and return it to our school office. If an opening occurs for which you may qualify, we will notify you. We will also contact your references. If we have continued interest in your candidacy, we will arrange for a personal interview. We realize that the key to a successful Christian school is its staff. We are seeking applicants who are professionally qualified, who really love children, and who, by the pattern of their lives, are Christian role models (Luke 6:40). We look forward to receiving your application. Thank you for your interest in the ministry of our school. It is our prayer that God will fulfill His perfect will in the lives of all applicants. We look forward to receiving your application. Instructions: Please print answers. Each question should be answered fully and accurately. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. Please attach a copy of your résumé if you have one.  Instructional Staff Application A. Applicant’s Information: Last name ________________________First name ______________________Middle Initial ___ Maiden Name ________________ Position applying for__________________________________________________________________________________________ Application date ___/___/___ Date available ___/___/___ Current address: ____________________________________________________________________________________________ City _____________________________________________ State __________ Zip _____________ How long have you been at this address? __________ Previous address if the above is less than 5 years.___________________________________________________________________ Phone: Days (______) _________________________ Evenings (______) ____________________________ Cell phone (______) __________________________ E-mail ___________________________________________________ Best time to call? _____________________________ Have you ever been arrested? For what? ______________________________________ When?___________________________ If yes, Explain _____________________________________________________________________________________________ Were you convicted? __________ What was the outcome? _________________________________________________________ Are you currently being investigated or under a procedure by your current employer to consider your discharge for misconduct?  Yes  No If yes, Explain _____________________________________________________________________________________________ Can you submit verification of your legal right to work in the U.S.?  Yes  No B. Position Desired: Position, or positions, applying for ______________________________________________________________________________  Full time  Part time  Substitute Available when? __________________________________________________________ How did you learn about our school? ____________________________________________________________________________ ___________________________________________________________________________________________________________ Why do you wish to work here? _________________________________________________________________________________ ____________________________________________________________________________________________________________ If we have openings in your preferred grade level, what grade level would that be? ________________________________________ If we have openings in your preferred subject area, what subject area would that be? ________________________________________ Are you capable of and comfortable teaching a Bible class?  Yes  No Instructional Staff Application 2 | P a g e C. School Statement of Faith: As a Christian organization, we require all of our employees to be practicing Christians. Federal law allows us to confine our hiring to members of our faith community. Please carefully read our statement of faith and indicate your degree of support. (Attached)  I fully support the statement as written, without reservations.  I support the statement except for any areas listed below and explained on a separate paper. These represent either disagreements or items for which I have not yet formed an opinion or a conviction. _____________________________________ ____________________________________________________________________________________________________________________________________________________________________________________ D. Christian Background: On a separate paper in your own handwriting, briefly give your Christian testimony. What is your denominational preference? ______________________ What is your local church affiliation? ___________________ Are you currently a member in good standing? _________________ Number of Years? _______________ With what regularity have you attended during the past twelve months? __________________________________________________ ____________________________________________________________________________________________________________ If you become employed by our school, you are joining a ministry that has high expectations of all its employees. All staff members have a ministry position and must demonstrate the life of Christ in their everyday living to our students, their parents, and fellow employees. Since it is the school’s mission to train and equip children to be followers of Jesus Christ, we require all of our employees to be Christian role models in their lives, both on and off the job (Luke 6:40). Please carefully read the school’s lifestyle statement and the declaration of moral integrity statement, which are attached. If you can honestly sign the forms, please do so. E. Questions for Instructional Personnel: Please list and attach copies of teaching certificates that you hold: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Teaching Experience (with most recent first): School Name (City, State) Position Dates Instructional Staff Application 3 | P a g e F. Professional Qualifications: Please attach photocopies of all your postsecondary transcripts. Should you be offered a position, official copies of your transcripts must be provided to the school for inclusion in your personnel file. Education Background: Dates (from/to) Degree(s) Major Minor College/University Please list K–12 activities or sports that you would be capable and willing to direct, sponsor, or coach (indicate grade or ability levels): ___________________________________________________________________________________________________________ Describe your level of computer and software program skills: _________________________________________________________ ____________________________________________________________________________________________________________ Cumulative grade point average: Bachelor’s ______________Graduate work _______________ Total units—(circle one) semester or quarter—after date of bachelor’s degree: ____________________________________________ Are you currently enrolled in school?  Yes  No If yes, where? ______________________________________________ How many courses are you currently taking? _______ Number of credits? _______ What is your course of study?________________ ____________________________________________________________________________________________________________ Do you know a foreign language? __________ If yes, which language? __________________________________________________ Can you speak it? ___________ read it? ____________ write it? ___________ teach it? ___________ G. Employment History: Please start with your current or most recent employer and work backward for the past five years. If necessary, use a separate paper and follow the same format for additional positions. Former employers will be contacted for references. 1. Employer_______________________________________________ Job title ___________________________________________ Dates of Employment______________________________ Address____________________________________________________ Supervisor’s name and phone number ______________________________ ( ___) ___________ Reason for leaving______________ ____________________________________________________________________________________________________________ Hourly rate/salary _______________________________ Job duties_____________________________________________________ ____________________________________________________________________________________________________________ 2. Employer_______________________________________________ Job title ___________________________________________ Dates of Employment______________________________ Address____________________________________________________ Supervisor’s name and phone number ______________________________ ( ___) ___________ Reason for leaving______________ ____________________________________________________________________________________________________________ Hourly rate/salary _______________________________ Job duties_____________________________________________________ ____________________________________________________________________________________________________________ Instructional Staff Application 4 | P a g e 3. Employer_______________________________________________ Job title ___________________________________________ Dates of Employment______________________________ Address____________________________________________________ Supervisor’s name and phone number ______________________________ ( ___) ___________ Reason for leaving______________ ____________________________________________________________________________________________________________ Hourly rate/salary _______________________________ Job duties_____________________________________________________ ____________________________________________________________________________________________________________ What date may we contact current employer? _______________________________________________________________________ Have you ever worked under a different name for any of the employers you have listed?  Yes  No If yes, what was the name or names? ______________________________________________________________________________ Can you perform the duties of this position without violating any obligations or proprietary information of a previous employer?  Yes  No Have you served in the military?  Yes  No If yes, what type of training or education did you receive? _____________________________________________________________ H. Personal References: Give three references that are qualified to speak about your spiritual experience and Christian service. List your current pastor first. (Please do not list family members or relatives for references. You will also need to sign the attached Authorization to Release Reference Information form and return it with this application.) Name and complete address Phone Position Give three references that are qualified to speak about your professional training and experience. List your current or most recent principal or supervisor first. Name and complete address Phone Position Instructional Staff Application 5 | P a g e PLEASE ATTACH: From Section B—Your Christian Testimony From Section C—Photocopies of certificates held Signed Statement of Faith (attached to application) Signed Declaration of Moral Integrity and Lifestyle (attached to application) I. Applicant’s Certification and Agreement I understand that Hope Christian Academy does not discriminate in its employment practices against any person because of race, color, national or ethnic origin, gender, age, or disability. I authorize Hope Christian Academy to thoroughly interview the primary references that I have listed, any secondary references mentioned through interviews with primary references, or other individuals who know me and have knowledge regarding my testimony and work record. I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment, and that the facts set forth in this application process are true and complete to the best of my knowledge. I understand that falsification of any statement or a significant omission of fact on the application, supporting documents, or interviews may prevent me from being hired or, if hired, may subject me to immediate dismissal regardless of when or how it was discovered. If I am released under these circumstances, I further understand and agree that I will be paid only through the day of release. I authorize my former employers and any other references to disclose to the school any and all employment records, performance reviews, letters, reports, and other information related to my life and employment, without giving me prior notice of such disclosure. In addition, I hereby release the school, my former employers, all other references, and all other parties from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure. I waive the right to ever personally view any references given to the school. Since I will be working with children, I understand that I must submit to a fingerprint check by the FBI and other federal and state authorities. I agree to fully cooperate in providing and recording as many sets of my fingerprints as is necessary. I also understand that I am required to submit to a criminal records check. I understand and agree that any offer of employment that I may receive from the school is conditional, until the school has received the background information, including criminal background information. The school may refuse employment or terminate conditional employment if the school deems any background information unfavorable or that it could reflect adversely on the school or on me as a Christian role model. (The cost for fingerprinting and background checks is around $60.00. The employee is responsible for payment of these checks.) I understand that failure to complete any portion of the application or to sign this application will result in rejection of my application. I certify that I have carefully read and do understand the above statements. I understand that this is an application for employment and that no employment contract is being offered at this time. _____________________________________________________________ ________________ Applicant signature Date Instructional Staff Application 6 | P a g e  Statement of Faith 1. I believe in the verbal, plenary inspiration of both the Old and New testaments, i.e. that the very words of the original Scriptures are infallible and inerrant and that they are our final and absolute authority in every area of life and knowledge. (I Timothy 3: 16, II Peter 1:21) 2. I believe in one God, eternally existing in three coequal persons; Father, Son and Holy Spirit. (John 4:24; Romans 8: 14-15) 3. I believe that Jesus Christ was conceived by the Holy Spirit, born of the Virgin Mary, and that He is both undiminished deity and genuine humanity in one person forever. (Isaiah 7:14; Matthew 1:8; Colossians l:15; John 1:14; Philippians 2:6-9) 4. I believe that God the Holy Spirit is a personal Being who convicts the world of sin, who regenerated indwells, empowers, guides and bestows spiritual gifts on believers, and who seals them eternally for God. (John 6:37; John 16; Romans 8; Ephesians 1:13-14, 4:30) 5. I believe that man was created by a direct act of God in His image, not from previously-existing life, that all men sinned in Adam (the historical father of the entire human race) and thus incurred both physical and spiritual death, and that all men have inherited a sinful nature. (Genesis 1:1-3; Ephesians 2:1; Romans 1,5,3:23) 6. I believe that Jesus Christ died as a substitution sacrifice for our sins and that through faith in Him as Lord and Savior, we are declared righteous by God. (II Corinthians 5:21; Hebrews 7:24-27) 7. I believe that salvation is by grace through faith in Jesus Christ, totally apart from human merit, and that the experience of regeneration produces a new creature in Christ. (II Corinthians 5:17; Titus 3:5; Ephesians 2:8-9) 8. I believe that Jesus Christ rose bodily from the dead and that He ascended in like form into Heaven, there He continually ministers as our Great High Priest and Advocate. (Luke 24:1-6; Hebrews 10:12; I John 2:1-2; Hebrews 7:25) 9. I believe in the literal, visible, bodily return of Jesus Christ with His saints to establish His Kingdom. (Acts 1:9-11; Revelation 19; John 14:2) 10. I believe in the bodily resurrection of the just and the unjust, the everlasting blessedness of the saved and the everlasting punishment of the lost. (Revelation 20, 21; I Corinthians 15) 11. I believe that all believers are under the mandate of Jesus Christ to proclaim the Gospel to all the world. (Matthew 8:18-20; Matthew 5:16) 12. I believe that as an act of obedience after receiving by faith Jesus Christ as Savior and Lord, a believer is baptized. (Acts 8:26-39) _________________________________________________ _____________________ Signature Date Instructional Staff Application 7 | P a g e  Declaration of Moral Integrity and Lifestyle Hope Christian Academy expects all of its employees and its volunteers with unsupervised access to children to model the same Christian values and lifestyle that it seeks to inculcate in its students. As an applicant for a ministry position as an employee or as a volunteer at this school, I, (print name) ______________________________________________________, recognize, understand, and agree to live by the Christian moral standards of Hope Christian Academy. I declare, that as a follower of Christ, I am not engaging in and commit to not engage in inappropriate sexual conduct. Inappropriate conduct includes, but is not limited to, such behaviors as the following: heterosexual activity outside of marriage (e.g., premarital sex, cohabitation, extramarital sex), homosexual activity, sexual harassment, use of (including the viewing of) pornographic material or websites, and sexual abuse or improprieties toward minors as defined by Scripture and federal or state law. (1 Corinthians 6:18; 1 Thessalonians 4:3) Abstain from the use of or possession of alcoholic drinks, tobacco, or illegal drugs. (1 Corinthians 6:19-20) Not be convicted of a felony or morally reprehensible misdemeanor. I declare that the above statement is factual and true. My signature below indicates that I meet the moral integrity standards and Christian role model lifestyle requirements of Hope Christian Academy. __________________________________________________________________ ___________ Applicant signature Date __________________________________________________________________ ___________ Administrator signature, after discussion with applicant Date Instructional Staff Application 8 | P a g e