Staff Application Thanks for taking the time to fill out an application for a staff position. The application should take 10-20 minutes to complete and we will be in touch with you after you've finished. Thank You! Step 1 of 7 14% Personal InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican 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 RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussiaRwandaSaint 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 IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Gender*MaleFemaleMarital Status*SingleMarriedSpouse Name First Last EducationPost Secondary EducationName of InstitutionDegree/DiplomaMajorGraduation Date Do you currently hold a valid FL State Teaching Certificate?*yesnoCertifications (Past and Present)TypeNumberExpiration Date Have you ever had your teaching certificate suspended or revoked?*yesno Work ExperienceLast EmployerName of EmployerPosition HeldDates of EmploymentBoss NameEmployer Phone Number (include extension if applicable) List the name of your last place of employment, the position you held, your dates of employment, your boss's name, and your employer's phone number.Classroom ExperienceSchool Name / HomeschoolPositionCourse TaughtGrade LevelDate List all homeschool and classroom teaching experiences, beginning with the most current.Other ExperienceCompanyPositionJob DescriptionDate ReferencesProfessional References*NamePositionEmailPhone Number Please list two.Personal References*NameRelationshipEmailPhone Number Please list two. Background InformationHave you ever been charged with or convicted of a crime against a child under the age of 18?*yesnoIf you answer is "yes", please explain.Are you willing to undergo VECHS fingerprinting, as required by FL law, at your own expense, if you are hired by Wellmont Academy?*yesnoHave you ever been charged with or convicted of a crime not involving a child?*yesnoIf your answer is "yes", please explain. Personal FocusWhat do you perceive to be your greatest strength?*What do you perceive to be your greatest weakness?*What do you believe you can offer Wellmont Academy as a staff member?*What are your interests or hobbies?*Do you believe the theory of evolution as described by Charles Darwin to be accurate?*yesnoIf you feel the need to quantify this statement, please explain.Explain how you believe the world was created and approximately how long ago this could have occured.*Technical AbilitiesAre you familiar with Google Docs and Excel Spreadsheets?*yesnoDo you text?*yesnoDo you currently use Facebook?*yesnoDo you feel reasonably confident that you would be able to learn to use a website interface similar to Facebook as a tool for communicating with parents, students and staff, and creating tests and materials online (with training)?*yesno Spiritual LifeAre you a born-again Christian?*yesnoHow long have you been saved?*If you answered "yes", please explain what the Gospel of Jesus Christ means to you personally.Are you a current member of a church?*yesnoIf your answer is "yes", please list the name of the your church.How long have you been a member?What is your pastor/home fellowship leader's name?Pastor/home fellowship leader's phone numberPastor/home fellowship leader's email PhoneThis field is for validation purposes and should be left unchanged.