Faculty Employment Application 


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Please fill out the form below and click button at the bottom to submit application.
* Indicates a required field.

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Date of Application *Date Available for Employment
2/4/2012   mm/dd/yyyy             
*First Name Middle Name  *Last Name Suffix
Former Name Preferred Name Preferred Title
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Present Contact Information
*Home Address  
 
*City *State  *Zip Code
*Country *Home Phone Number
 Use hyphens
Cell Phone Number
 Use hyphens
 
*E-mail *Confirm E-mail    
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Permanent Contact Information   If same as present, check here

*Home Address
*City *State *Zip Code
*Country *Home Phone Number
 Use hyphens
Cell Phone Number
  Use hyphens
*E-mail *Confirm E-mail    
 
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*Church *Pastor's Name *Location

Position(s) for which you are applying:
In the appropriate space(s), state the grade level(s) and or subjects for which you are applying.
Position Grade Level Subject Area
Lower School Teacher
Middle School Teacher
High School Teacher
Substitute Teacher
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Educational and Professional Training
*High School *Location
*Begin Date *End Date
  mm/yyyy      mm/yyyy
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*College *Location
*Begin Date *End Date *Degree
  mm/yyyy   mm/yyyy
*Major Minor

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College Location
Begin Date End Date Degree
  mm/yyyy   mm/yyyy
Major Minor

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College Location
Begin Date End Date Degree
  mm/yyyy   mm/yyyy
Major Minor

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Graduate School Location
Begin Date End Date Degree
  mm/yyyy   mm/yyyy
Major Minor

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Graduate School Location
Begin Date End Date Degree
  mm/yyyy   mm/yyyy
Major Minor

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Graduate School Location
Begin Date End Date Degree
  mm/yyyy   mm/yyyy
Major Minor

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Do you hold a teaching certificate from Georgia?  
If yes, please complete the following:
Certificate Type Expiration Date
  mm/dd/yyyy
Will you complete or have you completed practice teaching?     
If so, when   mm/dd/yyyy
School System  Name and Address  
Cooperating Teacher  College Supervisor 
How many semesters of professional education courses have you completed?    0 - 999
How did you learn about Wesleyan School? 
If you first learned about Wesleyan from a recruitment firm, which one?
If you learned about Wesleyan through a personal contact, please list the name(s).
If now employed, why are you considering leaving your present position? 
Maximum Number of characters for this text box is 1000.

You have 1000 characters remaining...
Have you resigned from your present position?   
Have you ever failed to have a contract renewed?   
If yes, please explain.
Maximum Number of characters for this text box is 500.

You have 500 characters remaining...
 
Are you presently under contract?   
If so, when will this contract expire?
   mm/dd/yyyy
Are you either a U.S. citizen or an alien legally authorized to work in the U.S.?
Within the past seven years, have you been convicted of a crime?
    
If yes, please describe in detail (accusation or conviction will not automatically bar employment).
Maximum Number of characters for this text box is 500.

You have 500 characters remaining...
*Describe your personal relationship with Christ and how that relationship impacts you on a daily basis.
(max. 4000 characters)
Maximum Number of characters for this text box is 4000.

You have 4000 characters remaining...

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Teaching Experience       Please list most recent experience first.
School Location Principal/Supervisor
Job Title, Grade, and/or Subject Assignment Begin Date End Date

 
mm/yyyy 		 
mm/yyyy
Extra-curricular Activities Sponsored or Coached
Maximum Number of characters for this text box is 100.

You have 100 characters remaining...
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School Location Principal/Supervisor
Job Title, Grade, and/or Subject Assignment Begin Date End Date
 
mm/yyyy		  
mm/yyyy
Extra-curricular Activities Sponsored or Coached
Maximum Number of characters for this text box is 100.

You have 100 characters remaining...
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School Location Principal/Supervisor
Job Title, Grade, and/or Subject Assignment Begin Date End Date
 
mm/yyyy		  
mm/yyyy
Extra-curricular Activities Sponsored or Coached
Maximum Number of characters for this text box is 100.

You have 100 characters remaining...
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School Location Principal/Supervisor
Job Title, Grade, and/or Subject Assignment Begin Date End Date
 
mm/yyyy		  
mm/yyyy
Extra-curricular Activities Sponsored or Coached
Maximum Number of characters for this text box is 100.

You have 100 characters remaining...

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Other Work Experience            Please list most recent experience first.
Employer Location
Job Title/Description Begin Date End Date

mm/yyyy
mm/yyyy
Supervisor
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Employer Location
Job Title/Description Begin Date End Date

mm/yyyy
mm/yyyy
Supervisor
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*Please write a brief statement explaining why you chose to enter the teaching profession.
Maximum Number of characters for this text box is 3000.

You have 3000 characters remaining...
Please check the box to the left of those activities you feel qualified to coach or sponsor.








Please explain your experience level with any of the above activities either as a participant or coach/sponsor.
Please rank the level of expertise for your extracurricular activities beginning with "1" for the top level of expertise, etc.
Maximum Number of characters for this text box is 1000.

You have 1000 characters remaining...
Have you ever served on a short-term mission trip team, or do you have an interest in serving on one? Explain.
Maximum Number of characters for this text box is 1000.

You have 1000 characters remaining...
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References

Professional
*Name *Position
*School/Company *Business Phone - Extension

  - 
Use hyphens
*Address *Email Address
 
*Confirm E-mail
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*Name *Position
*School/Company *Business Phone - Extension

  -  
Use hyphens
*Address *Email Address
 
*Confirm E-mail
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*Name *Position
*School/Company *Business Phone - Extension

  - 
Use hyphens
*Address *Email Address
 
*Confirm E-mail
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Name Position
School/Company Business Phone - Extension
  -   
Use hyphens
Address Email Address
*Confirm E-mail

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Personal
Name Business Phone - Extension
  - 
Use hyphens
Email Address Cell Phone
  Use hyphens
Confirm E-mail
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Name Business Phone - Extension
  - 
Use hyphens
Email Address Cell Phone
  Use hyphens
Confirm E-mail
When may we contact the references listed?   mm/dd/yyyy


This is to certify that all statements contained herein are complete and accurate. Incomplete or inaccurate information may result in termination of employment and all contracts and other penalties provided in the Georgia Code regarding "making false statements" and/or "falsification of government records."

Submission of this form constitutes acceptance of these terms.
*Signature:         *Date:     mm/dd/yyyy 



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NOTE: Please send a transcript to complete this application. Please send as soon as possible.
Postal Address Kathy Benson
5405 Spalding Drive
Norcross, GA 30092
Fax 770-448-2035
Email Address KBenson@wesleyanschool.org
If you wish to print a copy of this application for your records, you must print before you click submit.