Step 1 of 5 20% Job Type*Full-Time Teacher ApplicationSubstitute Teacher ApplicationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Date* MM slash DD slash YYYY Phone* PersonalPlace of Birth* City, County, StateStatus*MarriedSingleDivorcedWidowedSpouse First Last Employer Number of Children012345Child 1AgeGrade in FallSchool Child Attends Child 2AgeGrade in FallSchool Child Attends Child 3AgeGrade in FallSchool Child Attends Child 4AgeGrade in FallSchool Child Attends Child 5AgeGrade in FallSchool Child Attends Denomination Church Membership Have you read "A Brief Statement of the Reformed Philosophy of Education" as prepared by Dr. John Reed Miller, former Pastor of the First Presbyterian Church, Jackson MS?*NoYesDo you wholeheartedly and unreservedly subscribe to the philosophy as set forth therein?*NoYes GeneralFor what school session are you applying?2022-20232023-20242024-20252025-2026Are you under contract for the period for which you are applying?*NoYesIf yes, with whom? Have you ever failed for re-election?*NoYesWhere? If so, state reasons:Why do you wish to work in this school?*Do you hold a Mississippi Teaching Certificate?*NoYesIf yes, what kind? Do you hold a Mississippi Dyslexia Therapy Certificate?*NoYesIf yes, indicate college where you received your degree. When does your certificate expire? For what are you certified? Which optional examination did you take? Position DesiredPosition or type of work desired If not, indicate those grades which you are best qualified to teach. K3 Preschool K4 Preschool K5 Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Check the following areas included in your preparatory work for teaching elementary grades: Reading Social Studies Dyslexia Therapy Remedial Reading Manuscript Writing Check the following areas in which you are prepared to teach in the elementary grades: Art Music Physical Education Technology Foreign Language List any hobbies you have Educational PreparationList all schools attended and the grades completed, together with all college and professional education with dates attended and degrees earned:*List types of titles, places and dates of institutes, clinics, and workshops attended during the past five years:*Teaching ExperienceList all teaching experience in chronological order with dates and grades taught:Experience Other Than TeachingList all employment experience other than teaching, chronologically:References(Professionals, Former Principals, Pastor or Former Pastor, Co-Workers, etc.) Please give only an email address with the reference's name and how you know the person. A minimum of six references is required.Substitute TeachingIf you are not chosen to be a regular teacher, would you be interested in substituting at First Presbyterian Church Day School?*NoYesPersonal Christian TestimonyPlease Share your personal Christian testimony below*The school admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students of the school. The school does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, employment policies, admission policies, scholarship, loan programs, athletic programs and other school administered programs.
