Woodland Presbyterian School Faculty/Staff Application

1.	Full Name*

2.	Address (Street, City, State, Zip)*

3.	Phone Number*

4.	Email*

5.	What position are you applying for?*

6.	Please check any of the following that you have previously directed or coached:
	Chorus    Football    Volleyball    Cheerleading    Gymnastics    Yearbook    Tennis    Soccer    Track    Drama    Publications    Other, please specify

7.	Educational Background* College/University:

8.	Degree Earned* If you are applying for a position in After Care, please enter "student" if you are still in college.

9.	Graduation Year*

10.	Major*

11.	Minor

12.	Educational Background College/University:

13.	Degree Earned If you are applying for a position in After Care, please enter "student" if you are still in college.

14.	Graduation Year

15.	Major

16.	Minor

17.	Membership in Professional, Civic, or Service Organizations:

18.	Honors, Awards, Special Training, or Certifications:

19.	Describe any duties for which you should not be considered because of medical, physical, or mental disabilities:

20.	Have you ever been convicted of a crime?*
	--Please Select--Yes No

21.	Have you ever been accused of, participated in, or been accused of sexual misconduct?* If yes, provide details in the comment box below.
	--Please Select--Yes No

22.	Details

	Employment History

23.	If you are currently employed, may Woodland Presbyterian School contact your current employer?*
	--Please Select--Yes No

24.	Do you give Woodland Presbyterian School permission to contact former employers?*
	--Please Select--Yes No

25.	Employer

26.	Address

27.	What position did you hold or teach?

28.	Dates (start-end)

29.	Supervisor's Name and Title

30.	Supervisor's Phone

31.	Supervisor's Email

32.	Employer

33.	Address

34.	What position did you hold or teach?

35.	Dates (start-end)

36.	Supervisor's Name and Title

37.	Supervisor's Phone

38.	Supervisor's Email

39.	Employer

40.	Address

41.	What position did you hold or teach?

42.	Dates (start-end)

43.	Supervisor's Name and Title

44.	Supervisor's Phone

45.	Supervisor's Email

46.	Copy and paste a current copy of your resume. Please also send a PDF of your resume to Head of School Adam Moore at amoore@woodlandschool.org*

47.	Woodland Presbyterian School welcomes applications from persons of all races, color, creed, national, and ethnic origins. Untruthful answers are grounds for non-employment or dismissal.*
	I certify by checking this box that the information contained in this application is true and correct.

48.	Signature*

49.	Date*
	mm/dd/yyyy