Application for Employment

Each inquiry on this application must be fully answered or completed. Otherwise you will not be considered for employment.

Personal Data

Last name	First name	Middle name

Email address

Present address

Street address and number	City	State	Zip

Previous address

Street address and number	City	State	Zip

Home phone	Cell phone	Social security number	Are you 18 years of age or older?
			Yes No

Position

(Control-click to select multiple)

Grades	Campus	Placement

Previous Employment

Please list the names of your present or previous employers in chronological order with present or last employer listed first. Include part-time and seasonal employment. If self-employed, give firm name and supply business references.

Employer 1

Name		Dates employed		Work performed
Telephone number(s)		From (M/Yr)	To (M/Yr)
Address
		Hourly rate/salary
Job title	Supervisor name/title	Starting	Final
Reason for leaving

Employer 2

Name		Dates employed		Work performed
Telephone number(s)		From (M/Yr)	To (M/Yr)
Address
		Hourly rate/salary
Job title	Supervisor name/title	Starting	Final
Reason for leaving

Employer 3

Name		Dates employed		Work performed
Telephone number(s)		From (M/Yr)	To (M/Yr)
Address
		Hourly rate/salary
Job title	Supervisor name/title	Starting	Final
Reason for leaving

Employer 4

Name		Dates employed		Work performed
Telephone number(s)		From (M/Yr)	To (M/Yr)
Address
		Hourly rate/salary
Job title	Supervisor name/title	Starting	Final
Reason for leaving

Background Information

Please explain fully any gaps in your employment history. Be sure to account for all periods of time including military service and any period of unemployment.

If hired, can you provide proof that you are legally entitled to work in the U.S.? Yes No

Have you ever been terminated or asked to resign from any job? Yes No
If yes, please explain circumstances:

May we contact your current employer? Yes No
If no, please explain:

Have you ever worked for CDA before? Yes No
If yes, please give dates and position:

Do you have any friends or relatives working for CDA? Yes No
If yes, Name(s) and Relationship:

Have you ever plead guilty, or no contest to, or been convicted of any misdemeanor or felony? Yes No
If yes, please give the date(s) and details:

NOTE: Answering "Yes" to these questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account. (Do not include minor traffic citations and arrests or convictions which have been sealed or expunged in answering this question.)

Do you have any commitments to any other employer which may affect your employment? Yes No
If yes, explain:

Education

School Name	Years Completed	Diploma/Degree	Describe Course of Study or Major	Describe Specialized Experience, Training, Skills, and Extra-Curricular Activities
Elementary
High School
College/University
Graduate/Professional
Trade or Correspondence

List any professional designations, certifications, licenses, or courses that may be applicable to the position for which you are applying:

Other Information

Please describe any other experience that you have which would be relevant to the job for which you are applying:

Questions

Indicate your agreement with Mission-Vision-Core Values-Statement of Faith-Classical Education all found in the Parent/Student Manual. Please declare any differences with these statements for discussion during the interview.

Articulate how your character, teaching approach, qualifications and experience will help CDA more effectively prepare students for logic or rhetoric level education.

Of all of the books you have read in the last six months, which one has influenced you the most and why?

Briefly describe what you understand a Christian Worldview to be in the context of creation, fall and redemption.

Documents

Resumé:
Reference letter:
Reference letter: