Employment Application- Teacher Step 1 of 4 25% Your Personal InformationYour Name First Last Birthdate MM slash DD slash YYYY Your Email Address Your PhoneAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code How did you hear about us?Marital StatusSingleMarriedDivorcedWidowedSpouse Name (if applicable) First Last Children's names and ages (if applicable)EthnicityThe Ohio Administrative Code, Sections 3301-39-01 to 3301-39-04, requires all schools to keep records on the racial composition of its student body, employees, and potential employees, In addition, Medina Christian Academy values ethnic diversity and the role that it plays in the lives of our students and employees. American Indian/Alaskan Native Asian/Pacific Islander Black/African-American Caucasian/Non-Hispanic Hispanic Multi-Racial What type of position are you applying for? Part time Full time What position are you applying for?What day are you available to start? MM slash DD slash YYYY Your Previous ExperiencesYour Previous EducationPlease list your previous schooling with your most recent experience first.School nameType of SchoolMajorDegree received Add RemoveYour Previous EmployersPlease list your previous teaching/educational experience with your most recent one first.EmployerDatesPositionPhoneYearsReason for leaving Add RemoveDo you have a teaching certificate? Yes No What is the certification?Include area(s) such as grade, concentration, etc.List any other educational advantages you have had, including training, pertinent experience, opportunities for travel, etc.What Christian education courses or training have you had?What classes/courses would you like to teach, in order of preference?Are there any accommodations needed to allow you to perform the duties of the position you are applying for?Mark any of the co-curricular activities for which you have experience or interest. Art PE Music Nature Study Drama Science Journalism Foreign Language Math Sports Other Describe any experience you have had with the activites you marked above.Please list any other interests and hobbies.Describe your position on student/classroom discipline.How would you characterize your ability to work with others? Your Christian BackgroundHow long have you known Christ as your Lord and Savior?What is your denominational preference, if any?Name of Current ChurchPastor's NameAre you active in church? Yes No In what capacity?What authority do the Scriptures have in your life and the world?Please share your testimony of Faith in Jesus Christ.Character ReferencesPlease list 2-3 additional references that are non-relatives.NameSchool/CompanyRelationshipPhoneEmail Add RemoveDocumentsPlease upload your Resume and Philosophy of Christian Education in PDF format. Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 25 MB, Max. files: 3. Release FormAre you a United States citizen? Yes No Have you ever been convicted of, found guilty of, pled guilty to any misdemeanor other than traffic offenses? Yes No Have you ever been convicted of, found guilty of, or pled guilty to any felony? Yes No Have you ever had a criminal conviction sealed or expunged? Yes No Have you ever had a teaching certificate lifted, suspended, or revoked? Yes No Background Check I understand that a background check will be issued and must be returned clear to be considered an employee of Medina Christian Academy. I do not agree to have a background check issued. Social Media Check I understand that as a part of the background check process my entire social media will be reviewed for alignment with Medina Christian Academy's Mission and Core Values as stated above. Employment with Medina Christian is continengent upon this review. I do not agree to have my social media reviewed for alignment with Medina Christian Academy. Mission and Core ValuesOUR MISSION MCA seeks to glorify Jesus through biblical education and discipleship to transform hearts and minds. CORE VALUES Gospel Fueled Passion We serve God with all of our hearts in what He has called us to do to establish a legacy that will mark eternity (Psalm 33:11). We hire and develop staff passionate for God’s calling who are fully committed to serving God and loving students (Matt 5:8; Gal 5:13-14). We maintain focus by making decisions based on two criteria, if it honors Jesus and if it is in the best interest of our students (Phil 2:4-7), recognizing that we are meant for more than the world offers. Christ-Centered Excellence We strive to discover and inspire students to fully develop their God-given gifts (Col 3:17). We relentlessly pursue total excellence, both organizationally and personally, centered on Christ (Col 3:23). We believe in challenging ourselves in a model of excellence not for our own gain rather all for the glory of God (1 Cor 10:31). Disciple Making Relationships We commit to being a community of one mind, focused on our Kingdom purpose (Acts 2:42-47; Psalm 133). We believe life change happens through authentic relationships (John 13:34-35; John 13:20). We value a community, aligned with one purpose, under God, to pursue the vision and mission He has given us (Psalm 133:1-3; Phil 2:2 ). I have read the mission and core values and agree with it in its entirety.ComplianceIn compliance with the provisions of O.R.C. 109.57, verification of the response to these questions may be obtained from the Ohio Bureau of Criminal Identification and Investigation and the Federal Bureau of Investigation. The verification process will require that fingerprints be taken. Medina Christian Academy does not discriminate on the basis of race, color, national origin, gender, age, or disability. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors. In the event of a legal, or equitable, claim arising out of, or relating in any way to an unresolved dispute, including, but not limited to, any dispute arising out of MCA’s consideration of my application of employment, all stakeholders agree to waive any right to a jury or any right to file a lawsuit in any civil court against MCA or any of its officers, trustees, employees, agents or volunteers, and, instead, agrees to solely and exclusively resolve any such legal, or equitable, claim through a mutually-agreeable Christian dispute resolution process that will include, if necessary, final and binding arbitration. If the parties fail to agree on a dispute resolution process or are otherwise unable to resolve any dispute involving a legal, or equitable, claim against MCA or any of its officers, trustees, employees, agents or volunteers, the applicant agrees that any such claim shall be fully and finally settled by mediation and, if necessary, legally binding and final arbitration in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation (iccpeace.com). Judgement enforcing an arbitration decision may be entered in any court otherwise having jurisdiction. Nothing herein precludes the administration of MCA from maintaining and operating its school in accordance with its Statement of Faith. I certify that all information given throughout the application process herein is true and complete to the best of my knowledge. I understand that this application is not and nor is intended to be a contract of employment; if hired, the employment relationship between myself and Medina Christian Academy is terminable at will, with or without cause, by either myself or MCA. In the event of my employment with MCA, I will comply with all rules and regulations. I give MCA my permission to conduct any investigation regarding the information contained in my employment application which MCA deems necessary to determine my qualifications for employment with MCA. I also give MCA my permission to contact any former employer, school, college or university, utility company, credit or finance bureau or office, any personal or professional reference, or any other appropriate source or individual for the purpose of gathering any information, personal or otherwise, that such sources may have about my character, general reputation, credit, education, or employment record. Furthermore, I give my consent to any such source to release to MCA whatever relevant information they have about me. I also unconditionally release all named and unnamed sources from any and all liability that might result from furnishing any information about me. My signature attests both to the fact that the information I have provided herein is correct and to my understanding that false or misleading information given in my application or interview(s) shall be grounds for not considering this application or for dismissal if employed. I have read the above compliance and agree with it in its entirety.Medina Christian Academy accepts employees of any race, color, nationality, or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, nationality, or ethnic origin.
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