Step 1 of 10 10% Name* First Last Date* Date Format: MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneCell PhoneEmail* This application is for a position in the (select all that apply):* Little Raiders Learning Academy Lower School Teacher Middle School Teacher Upper School Teacher Staff - Non Teaching Which position are you applying for? Please select all that apply. Director of Activity Programs Director of Campus Life Director of Campus Safety Director of Vocal Music Innovation Specialist Middle School History Middle School Science Upper School History Upper School Spanish Professional PreparationDo you hold a current teaching certification?Note: A teaching certificate is not required to teach at a private school in GeorgiaYesNoIs your certificate a issued by the State of Georgia?YesNoIf you hold a Georgia certificate, what type?B-4T-BT-5T-6Ph.D./Ed.D.My certificate is not from GeorgiaWhat is the expiration date of your certification?What Academic Field(s) is (are) your certification(s) Academic StatusPlease list the College / University you attended in order from most recent. Did you attend college?YesNoMost recent college attended(1) Degree (2) Date Earned (3) College/University (4) City & State (5) Major (6) MinorDid you attend a second college?YesNo2nd College Attended(1) Degree (2) Date Earned (3) College/University (4) City & State (5) Major (6) MinorDid you attend a third college?YesNo3rd College Attended(1) Degree (2) Date Earned (3) College/University (4) City & State (5) Major (6) MinorDo you have a high school diploma Yes No Name of the high school, city, and stateExtra-Curricular InvolvementHonors and Awards Earned Professional Teaching ExperiencePlease list your most recent teaching experience. You will be able to upload your resume with your full work experience.Present PositionName of SchoolCurrent SalaryDates employed at this schoolFull or Part TimeFull TimePart Time Professional Work ExperienceList the last 3 jobs that you had.Job 1Job title, company, years worked, and the reason for leaving.Job 2Job title, company, years worked, and the reason for leaving.Job 3Job title, company, years worked, and the reason for leaving. Childcare QualificationsPlease list all training, first aid, and CPR certifications.List experience working with children.Please include duties and ages of children.Are you willing to participate in required childcare training?Required from Bright from the Start, Georgia Department of Early Care Learning. Yes No Educational PhilosophyBriefly describe your philosophy of Christian Education.How do you integrate a biblical worldview into your classroom? Christian Background & BeliefsBriefly explain how and when you became a Christian.What local church do you attend?Are you active in your church? If yes, in what capacity?SCPS's Statement of BeliefI believe in God the Father Almighty, maker of heaven and earth; and in Jesus Christ, his only Son, our Lord, which was conceived by the Holy Ghost, born of the Virgin Mary, suffered under Pontius Pilate, was crucified, dead, and buried: he descended into hell; the third day he arose again from the dead; he ascended into heaven, and sits at the right hand of God the Father Almighty, from there he shall come to judge the quick and the dead. I believe in the Holy Ghost; the holy universal church; the communion of saints; the forgiveness of sins; the resurrection of the body; and the life everlasting. Do you fully support the SCPS Statement of Belief?YesNoPlease explain why you answered that you do not support SCPS's Statement of Belief. Additional QuestionsPlease answer yes or no. If yes, please explainAre you legally eligible to work in the United States?You're US Citizen or hold a current Visa.YesNoHaving read the job description, are you able to perform the duties described...with accommodations?without accommodations?Have you ever been suspended, dismissed, fired, or discharged from a position of employment?YesNoSince you answered yes, please explain:Have you ever had a teaching certificate suspended or revoked?YesNoSince you answered yes, please explain:Have you ever been asked to resign from any position of employment?YesNoSince you answered yes, please explain:Have you ever been convicted of a violation of the law other than a minor traffic ticket?YesNoSince you answered yes, please explain:Do you have any charges, lawsuits, or administrative action pending against you?YesNoSince you answered yes, please explain: Applicant StatementI certify that answers given herein are true and complete. I understand that false or misleading information or significant omission of facts in my application or interview(s) may prevent me from being hired, or if hired, may result in my immediate dismissal. I understand that this school does not discriminate in its employment practices against any person because of age, sex, race, color, national or ethnic origin, gender or handicap. I further understand that any offer of employment is conditioned on the proof of legal authority to work in the U.S. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I authorize a Motor Vehicle Record (driving record) check if employed in a position requiring that I drive SCPS vehicle(s). This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized employee of this organization. I understand, also, that I am required to abide by all rules, regulations, moral and ethical standards of the Employer. I further declare that with regard to my personal moral and ethical character and conduct as of this date, I am not, nor have been in the past engaged in inappropriate conduct toward minors, nor do I have inclinations toward such conduct. Inappropriate conduct includes, but is not limited to the following: homosexuality, verbal, physical or sexual abuse as defined by Scripture and state law. Signature*to electronically sign this application, please place the following symbol before your full typed name: /s/ (sample: /s/john doe)Date* Date Format: MM slash DD slash YYYY Upload your Resume (pdf only)Please make sure your resume includes all jobs held and the time frame in which you were employed at each.