Teacher Application - Cristo Rey Columbus High School

Personal Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone*

Cell Phone*

Email*

Religion*

Faith*

Parish/Church*

Employment Interests

Share the subject area(s) you are interested in teaching or the counseling/academic support services you are interested in offering.*

Share any additional extracurricular activities, coaching, or clubs are interested in being involved with.*

Educational and Professional Training

College or University	Location (City, State)	Dates Attended From - To	Graduation Date, Degree

Undergraduate Degree

Major(s)	Minor(s)

Graduate Degree

Graduate Degree	Area(s) of Concentration

Teaching, Counseling or Academic Support Experience

Dates From - To	School	Location (City, State)	Grade(s) or Subject(s) or Role

Other Related Work Experience

Dates From - To	Company, Job Title (Short job description, if needed)	Location (City, State)

Professional References (for each of the positions listed above)

Name	School/Company	Daytime Phone	Email

Background Questions

Do you possess a valid teaching certificate?*

Yes
No

Do you possess a valid pupil service license specializing in school counseling?*

Yes
No

If yes,

State(s)	Type(s)/Teaching Area(s)	Expiration Date(s)

Have you ever had a teaching or counseling credential denied, suspended, or revoked?*

Yes
No

If yes, please explain:

Have you ever failed or refused to fulfill an employment contract with any school?*

Yes
No

If yes, please explain

Have you ever for any reason been suspended, dismissed, or asked to resign a teaching position?*

Yes
No

If yes, please explain:

Have you ever been convicted of a crime? (excluding minor traffic violations or convictions that have been sealed, expunged, or legally eradicated)*

Yes
No

If yes, briefly describe the nature of the crime(s), the date and place of the conviction, and the legal disposition of the case:

After employment, can you submit verification of your legal right to work in the United States?*

Yes
No

Would your involvement (attendance, participation, supervision) in religious activities make you feel uncomfortable or compromise any of your own personal beliefs?

Yes
No

If yes, please explain:

Short Answer

Why would you like to work at Cristo Rey Columbus High School?*

What are the strengths you bring to the education profession?*

What is your understanding of “data-driven instruction” and what experience do you have in a data driven classroom? (Teacher Applicants only)

How would you differentiate instruction to meet the needs of the many learners in your class? (Teacher Applicants only)

How would you integrate technology into your classroom (we are a 1:1 Chromebook school)? (Teacher Applicants only)

How would you describe your classroom management style? (Teacher Applicants only)

Where did you hear about this job opening?

Cover Letter:

Drop files here or

Max. file size: 256 MB.

Resume:

Drop files here or

Max. file size: 256 MB.

Certification

I hereby certify that all the information given in the application form and any supporting documentation (resume, transcripts, credentials, etc.) is true, complete, and correct. I understand that any misrepresentations or omissions shall be sufficient cause for disqualification or, if hired, dismissal. I authorize investigation of all statements contained in this application and any supporting documentation. I further authorize Cristo Rey Columbus to secure information from former employers, educational institutions, governmental agencies, social media or any references I have provided and for those parties to provide information concerning my experience. I hereby release and hold harmless all parties from any liabilities arising from such investigation and verification.

I consent.