Faculty Fellow 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
5/21/2012     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 Cell Phone Number
  Use hyphens   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 Cell Phone Number
  Use hyphens    Use hyphens 
*E-mail *Confirm E-mail  


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*Church *Pastor's Name *Location

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The deadline to submit applications is February 17,2012. Interviews of Faculty Fellows will take place March 2, 2012, and March 5, 2012.

Applicants selected to interview will be assigned one of those two interview dates and must be present for the full day of interviews. Wesleyan will pay all travel expenses incurred by candidates who come from outside the Atlanta area for interviews.

Candidates will be notified of their status by April 1, 2012.

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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
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).
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 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...
Separate male and female housing is provided for all Faculty Fellows.
Do you plan on participating in this benefit?
If not, please explain:
Have you previously applied for the Faculty Fellows program?
    
*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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Work Experience            Please list most recent experience first.
Employer Location
Job Title/Description Supervisor
Begin Date End Date
  mm/yyyy   mm/yyyy
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Employer Location
Job Title/Description Supervisor
Begin Date End Date
mm/yyyy   mm/yyyy
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Employer Location
Job Title/Description Supervisor
Begin Date End Date
mm/yyyy mm/yyyy
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Academic Department
Please rank the top division in which you are interested in teaching with a 1. If you are interested in teaching in any other divisions, you may continue ranking in sequential order.
  Lower School      Middle School         High School
If your top ranking above was Middle School or High School, please rank the top academic department in which you are most interested in teaching with a 1.

If you are interested in teaching in any other area, you may continue ranking in sequential order.
Bible English Fine Arts Foreign Language
History Math Physical Education Science
Intructional Technology
Please explain your rating(s) from above:

Maximum number of characters for this text box is 1000.

You have 1000 characters remaining...
Why do you want to be a Faculty Fellow? Include the following:
  • The strength/experiences that will make you a successful Fellow
  • What you hope to learn and achieve over the next year
  • How being a Faculty Fellow will help you five years from now
  • Your long term goals
Maximum number of characters for this text box is 3000.

You have 3000 characters remaining...
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Athletic and Fine Arts Departments

Fall Season
Please place a check to the left of those activities you feel qualified to coach or sponsor in each season. 


Please explain your expertise level with any of the above activities either as a participant or coach/sponsor:
Maximum number of characters for this text box is 1000.

You have 1000 characters remaining...
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Winter Season
Please place a check to the left of those activities you feel qualified to coach or sponsor in each season. 


Please explain your expertise level with any of the above activities either as a participant or coach/sponsor:
Maximum number of characters for this text box is 1000.

You have 1000 characters remaining...
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Spring Season
Please place a check to the left of those activities you feel qualified to coach or sponsor in each season. 


Please explain your expertise level with any of the above activities either as a participant or coach/sponsor:
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

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

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

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

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Personal
Name Business Phone - Extension
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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."

Note: The employment start date varies depending on the applicant's assigned fall activity or sport
         (generally the end of July).

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



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NOTE: Must send a transcript to complete this application. Please send as soon as possible.
Postal Address Wesleyan School
5405 Spalding Drive
Norcross, GA 30092
Attention Donna Dixon
Fax 770-448-8172
Email Address ddixon@wesleyanschool.org
If you wish to print a copy of this application for your records, you must print before you click submit.