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Bangor Christian Schools Teacher Employment Application

Please Submit to:



Bangor Christian Schools
Attention: James Frost
1476 Broadway
Bangor, Maine 04401

jfrost@bangorchristian.org

A. APPLICANT'S NAME AND ADDRESS

Full name:

Application date: / / Date available: / /

Present Address

Phone: Days ( _) Evenings ( )

Best time to call you? Soc. Sec. # _

How long have you lived at the above address?

Permanent Address and Phone number if different than present address




B. POSITION DESIRED


Full Time ______ Part Time ______ Substitute ______

( ) Teaching Kindergarten (K-4 or K-5)

( ) Teaching Elementary

( ) Teaching Junior High Subjects: ________________________________________________

( ) Teaching High School Subjects: _______________________________________________



Please list activities you would be capable of and willing to direct, sponsor, or advise:





C. CHRISTIAN BACKGROUND

Bible Do you believe the Bible to be the ONLY inspired and infallible Word of God, our
final authority in all matters of faith, truth and conduct? Yes No


Adam Phillip Jewell
August
18
16 Howland Rd. Lagrange Maine 04453
207 943-5123
When Ever 007-76-8511
4 years
X
X
X
X
X
X
Music
Music
July 18
2013


2013
Church What is your local church affiliation?


Are you presently a member in good standing? ________Years?

In what church activities are you involved and with what degree of regularity?




Are you capable of teaching a Bible class? Yes ______ No ______

Devotional * On separate paper briefly give your Christian testimony and describe your
Life personal Bible study and prayer life.


D. PROFESSIONAL QUALIFICATIONS

Please attach a copy of the following documents:
professional resume
all post-secondary transcripts
any professional certificates held


Formal What degree or degrees do you hold?
Training
Degree Date Received Issuing Institution







Major(s)

Minor(s)

Cumulative grade point average BA Graduate work


Teaching Sequentially list your teaching experience with most recent first.
Experience
School's Name Grades or Subjects Dates








Teaching Do you hold any Christian Teaching Certificates?
YES
12
None other than Church on Sunday and the occasional gathering.
x
None
Calvary Chapel Christian School Music and Gym 2012-2013
Private Teaching Studio
Music
2004-2010
Calvary Chapel Christian School Music 2004-2005
No
Credentials
With whom?

What level? Remains valid for years.



Do you have a state teaching certificate? State?

What kind? Remains valid for years.

If you do not hold a certificate, what requirements do you lack?





Would you be willing to take such a course by correspondence or otherwise?




E. PERSONAL PHILOSOPHY - On separate paper please answer the questions below.

A. Why do you wish to teach in a Christian school?

B. What are the main characteristics that distinguish a Christian school from a public school?

C. What do you consider to be the proper classroom atmosphere for learning?

D. What is your philosophy of discipline?

E. Please add any information that you would like to present regarding your candidacy.


F. EMPLOYMENT HISTORY

Please start with your current or most recent employer and work backwards for the past ten years.

Work 1. Employer
Back- Position Dates of Employment
ground Address

Supervisor's Name and Phone Number
Reason for leaving



2. Employer ___________________________________
Position Dates of Employment
Address

Supervisor's Name and Phone Number
No
Yes
University of Maine in Orono
Administration
2011-2013
5724 Dunn Hall Rm 314 Orono Maine 04469
Darren Ranco 581-9485
My contract ended
Calvary Chapel Christian School
Music/Gym 2012-2013
Eric Myerson 356-1106
Reason for leaving





3. Employer ___________________________________
Position Dates of Employment
Address

Supervisor's Name and Phone Number
Reason for leaving



4. Employer ___________________________________
Position Dates of Employment
Address

Supervisor's Name and Phone Number
Reason for leaving



5. Employer ___________________________________
Position Dates of Employment
Address

Supervisor's Name and Phone Number
Reason for leaving



Have you ever worked under a different name for any of the employers you have
listed? If so, what was the name or names?



G. PERSONAL REFERENCES

* Do not list family members or relatives for references.

Reference Give three references who are qualified to speak of your spiritual experience and
Christian service. List your current pastor first.

Name/Position/Phone/Complete Address/Email

1.



2.

School Closed Down
Self Employed
Music Teacher
Lincare Corp.
Service Tech 2008-2009
Doug Mcgraw
I witnessed illegal activity and blew the whistle on it, thus
was fired. It has a good ending for me, by the grace of God.
Community Health and Counseling Services
Res Advisor
2007-2008
Mike Warman
The program was shutting down and I had received a job
offer by Lincare.
2004-2010
No
Dave Homechuck/ 564-9058 48 Morton Ave Dover-Foxcroft, ME 04426
Toby Mills/ 356-2012 Bangor Maine 04401
77 court St. Bangor Maine
04401


3.





Give three references who are qualified to speak of your professional training and
experience. List your current or most recent principal or supervisor first.

Name/ Position/ School/Phone/Complete Address/Email

1.



2.



3.





H. APPLICANT'S CERTIFICATION AND AGREEMENT

I understand that Bangor Christian Schools does not discriminate in its employment practices
against any person because of race, color, national or ethnic origin, gender, age, or disability. I
hereby certify that the facts set forth in this initial application are true and complete to the best of
my knowledge. I understand that discovery of falsification of any statement or a significant
omission of fact may prevent me from being hired, or if hired, may subject me to immediate
dismissal regardless of the time elapsed before discovery. If I am released under these
circumstances, I further understand that I will be paid and receive benefits only through the day of
release.

I certify that I have carefully read and do understand the above statements.


Signature of Applicant Date

Application Checklist

_____ Completed Application
_____ Christian Testimony and Devotional Life
_____ Professional Resume
_____ Post-Secondary Transcripts
_____ Photocopies of Certificates
_____ Responses to Questions on Personal Philosophy Section E (Items A, B, C, D, & E)
_____ Letters of Reference (Optional)
_____ Background Inquiry Release From Completed and Signed
Nelson Jewell 884-8132 126 Kenduskeag Rd. Levant Maine
Eric Myerson/Calvary Chapel Christian School/
154 River Rd Orrington, ME 04474 991-9684
Toby Mills 356-2012
Bob Seccareccia (207) 852-3781
Adam Phillip Jewell 7-21-2013
x
x
x
x
x
x
x
Bangor Baptist Ministries
1476 Broadway, Bangor, ME 04401

Disclosure and Release of Information Authorization
Consumer Report/Investigative Consumer Report
Important: Please read carefully

As an applicant for employment or an employee, you are a consumer with rights under the Fair Credit
Reporting Act. When evaluating you for employment, promotion, reassignment, or retention as an
employee, a consumer report or an investigative consumer report may be obtained from a consumer
reporting agency and may be obtained at any time during the application process or during your employment.

I authorize Bangor Baptist Ministries and Edge Information Management, Inc., a consumer reporting
agency, to obtain information from all personnel, educational institutions, government agencies, companies,
corporations, credit reporting agencies, law enforcement agencies at the federal, state or county level,
relating to my past activities, to supply any and all information concerning my background. The information
obtained may include, but is not limited to, academic, residential, achievement, previous employment
verification and/or job performance, workers compensation, professional licenses, credit reports, driving
history, and criminal history records.

I understand that a Consumer Report or Investigative Consumer Report may be prepared summarizing this
information. The report may include information obtained through personal interviews regarding my
character, general reputation, personal characteristics and/or mode of living. I may also have the right to
request additional disclosures regarding the nature and scope of the investigation as well as a written
summary of my rights under the Fair Credit Reporting Act. If requested, the consumer reporting agency will
explain the contents of my file. I understand that proper identification will be required and that I should direct
my request to: Edge Information Management, Inc., 1682. W. Hibiscus Blvd., Melbourne, Florida
32901-4769. Phone 1-800-725-3343. FAX 800-780-3299.

I understand that by requesting this information, no promise of employment is being made. I also understand that a
photocopy of this authorization be accepted with the same authority as the original; and that if employed by Bangor
Baptist Ministries this authorization will remain in effect throughout such employment. I understand that the
information requested below regarding date of birth, race and sex is for the sole purpose of gathering the above
information accurately, and will not be used to discriminate against me in violation of any law.

READ, ACKNOWLEDGED AND AUTHORIZED
I authorize Edge Information to contact me for clarification of any information provided.
Phone Number______________________

___________________________________________________________________________________
Signature Date

NOTE: I am providing th NOTE: I am providing th NOTE: I am providing th NOTE: I am providing the following voluntarily. e following voluntarily. e following voluntarily. e following voluntarily. PLEASE PRINT CLEARLY

NAME ________________________________________________________________________
First Middle (Full) Last Other Names Known By

SOCIAL SECURITY # ______ - ____ - ______ SEX _______ RACE ________
DATE OF BIRTH (for ID purposes only) _____ - _____ - _______
MO DAY YR
DRIVERS LICENSE # ____________________________ STATE _____

CURRENT ADDRESS______________________________CITY/STATE/ZIP______________________________

PREVIOUS ADDRESS ____________________________CITY/STATE/ZIP_______________________________

If you are applying for employment in California, Minnesota, or Oklahoma and would like a copy of any Consumer Report
prepared on you please check HERE. ____ If you elect not to receive a copy please check this HERE. ____

Adam Phillip Jewell
007 76
8511 m American Indian
02 11 1980
4421257 ME
16 Howland Rd Lagrange Maine 04453
104 Davis Rd
Bangor Maine 04401
207-943-5123