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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe 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 ExperienceClassroom 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.Have 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.