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Personal Information |
| Name* |
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| E-mail* |
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| Home Phone* |
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| Work Phone |
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| Address* |
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| City* |
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| State* |
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| Zip* |
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| Social Security Number |
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| Marital Status* |
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| Child's Name 1 |
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| Child 1's Date of Birth |
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| Child's Name 2 |
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| Child 2's Date of Birth |
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| Child's Name 3 |
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| Child 3's Date of Birth |
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| Child's Name 4 |
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| Child 4's Date of Birth |
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Educational Background |
| Undergraduate School |
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| Undergraduate Degree |
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| Undergraduate Degree Date |
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| Undergraduate Major |
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| Undergraduate Minor |
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| Overall GPA |
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| Major GPA |
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| Hours in Education |
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| Hours in Christian Education |
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| Graduate School |
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| Graduate Degree |
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| Graduate Degree Date |
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| Graduate Major |
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| Graduate GPA |
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| Graduate Hours in Education |
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Teaching Experience and Credentials |
| Name of School 1 |
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| Grade and/or Subjects Taught 1 |
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| Dates 1 |
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| Reason for Leaving 1 |
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| Name of School 2 |
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| Grade and/or Subjects Taught 2 |
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| Dates 2 |
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| Reason for Leaving 2 |
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| Name of School 3 |
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| Grade and/or Subjects Taught 3 |
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| Dates 3 |
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| Reason for Leaving 3 |
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| Name of School 4 |
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| Grade and/or Subjects Taught 4 |
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| Dates 4 |
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| Reason for Leaving 4 |
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| What grades or subjects are you prepared to teach?* |
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| ACSI certified |
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| ACSI Type of Certificate |
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| ACSI Expiration Date |
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| State Certified |
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| State Type of Certificate |
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| In which state(s)? |
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| State Expiration Date |
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| Professional Organization(s) to which you belong |
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| Honors you have achieved |
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| List any extracurricular experiences (i.e., coaching, drama, yearbook, music, cheerleading). Please include the School, Activity and Dates. |
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| Are there any extracurricular activities in which you would be willing to serve? |
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Christian Background |
| Local Church Affiliation* |
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| Denomination* |
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| Are you a member in good standing?* |
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| Number of years? |
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| Church activities in which you are presently involved |
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Personal References
Please give three references, including your current pastor and most recent educational supervisor. |
| Name 1* |
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| Mailing Address 1* |
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| Phone or Email 1* |
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| Position 1* |
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| Name 2* |
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| Mailing Address 2* |
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| Phone or Email 2* |
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| Position 2* |
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| Name 3* |
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| Mailing Address 3* |
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| Phone or Email 3* |
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| Position 3* |
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Personal Philosophy Questions
Please succinctly answer the following questions. |
| How did you become a Christian?* |
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| Why do you want to teach in a Christian school?* |
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| What is your philosophy of discipline?* |
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| What are the distinguishing qualities of a Christian school?* |
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| What are your strengths?* |
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| What are your weaknesses?* |
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| What is your position on the inspiration of Scripture?* |
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| What is your position on the origin of the earth and man?* |
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| What is your position on the use of alcoholic beverages?* |
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| What is your position on the security of the believer? (Can salvation be lost?)* |
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I certify that the information provided in this application is, to the best of my knowledge, true. I also authorize the school to investigate my personal, educational, and employment history. |
| Signature: Typing your name in the space below constitues your electronic signature.* |
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| Signature Date* |
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To complete the application process, send college transcript(s) to:
George Wiedman
Bible Baptist School
201 W. Main Street
Shiremanstown, PA 17011 |
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