Staff Application

14%

Personal Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Gender*
Marital Status*
Spouse Name
First Last

Education
Post Secondary Education
Name of Institution Degree/Diploma Major Graduation Date
Do you currently hold a valid FL State Teaching Certificate?*
Certifications (Past and Present)
Type Number Expiration Date
Have you ever had your teaching certificate suspended or revoked?*

Work Experience
Classroom Experience
School Name / Homeschool Position Course Taught Grade Level Date

List all homeschool and classroom teaching experiences, beginning with the most current.
Other Experience
Company Position Job Description Date

Background Information
Have you ever been charged with or convicted of a crime against a child under the age of 18?*
If you answer is "yes", please explain.
Have you ever been charged with or convicted of a crime not involving a child?*
If your answer is "yes", please explain.

Personal Focus
What 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?*
If 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 Abilities
Are you familiar with Google Docs and Excel Spreadsheets?*
Do you text?*
Do you currently use Facebook?*
Do 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)?*

Spiritual Life
Are you a born-again Christian?*
How 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?*
If 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 number
Pastor/home fellowship leader's email
Phone
This field is for validation purposes and should be left unchanged.

Personal Information