Careers First Name Last Name Email Phone Address Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Optional Info OPTIONAL INFORMATION Church Affiliation - Select -Anglican ChurchAssemblies of GodBaptist (Independent Fundamental)Baptist (Southern Baptist Church)Other Baptist DenominationCatholic ChurchChristian Reformed Church (CRCNA)Eastern OrthodoxEpiscopal ChurchLutheran (ELCA)Lutheran (Missouri)Lutheran (WELS)Lutheran (other)MethodistNon-denominationalPlymouth BrethrenReformed Church (RCA)Seventh-day AdventistUnited Pentecostal ChurchWesleyan ChurchOther Church Contact Info Marital Status Date of Birth RECORD OF TRAINING Training Fieldset 1 ELEMENTARY Name & Location of School from which you Graduated Years of Attendance Date of Graduation Training Fieldset 2 SECONDARY Name & Location of School from which you Graduated Years of Attendance Date of Graduation Training Fieldset 3 COLLEGE OR UNIVERSITY Name & Location of School from which you Graduated Years of Attendance Date of Graduation Training Fieldset 4 COLLEGE OR UNIVERSITY Name & Location of School from which you Graduated Years of Attendance Date of Graduation RECORD OF EXPERIENCE List the schools in which you have taught (most recent first) Expertise 1 Name & Location of School Was this a Christian School? - Select -YesNo Grade(s) and/or Subjects Taught Number of Years Taught There Dates of Employment Expertise 2 Name & Location of School Was this a Christian School? - Select -YesNo Grade(s) and/or Subjects Taught Number of Years Taught There Dates of Employment Expertise 3 Name & Location of School Was this a Christian School? - Select -YesNo Grade(s) and/or Subjects Taught Number of Years Taught There Dates of Employment Expertise 4 Name & Location of School Was this a Christian School? - Select -YesNo Grade(s) and/or Subjects Taught Number of Years Taught There Dates of Employment REFERENCES Reference 1 Name of Contact Phone Email Reference 2 Name of Contact Phone Email Reference 3 Name of Contact Phone Email OTHER INFORMATION Other Info Fieldset College Major(s) College Minor(s) Certifications State Why You Wish to Teach in a Christian School Submit Application
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Celebrating 95 Years of Christian Education!
912 Virginia St., Racine, WI 53405
