Secure Form

International Teacher Application

MOUNTAINVIEW CHRISTIAN SCHOOL

PO Box 142, Salatiga 50711, Jateng, Indonesia

Phone: 62–298–311673 Fax: 62–298–321609

Email: employment@mtview.id

Web Site: www.mtview.id

PERSONAL INFORMATION

**Please send a resume with this application including educational and work experience**

1. Legal Name *

2. Citizenship *

3. Birth Date *

4. Gender *

Male Female

5. Street Address *

6. City *

7. State *

8. Country *

9. Postal Code

10. Marital Status *

Single Married Separated Divorced Remarried Widowed

11. Please attach explanation if Marital Status separated, divorced or remarried

12. If married, give your spouse name

13. Names and ages of children

14. Primary language spoken in the home *

15. Secondary languages (if any)

16. Are you currently under contract for the ensuing year? *

Yes No

17. When can you begin work?

18. Do you have outstanding college/university loans? *

Yes No

19. How did you hear about Mountainview? *

20. What prior cross-cultural experience(s) do you have?

21. Why are you interested in living in Indonesia and serving at Mountainview?

22. What (if any) church or agency are you planning to be sent by?

POSITION FOR WHICH YOU ARE APPLYING

23. Academic Degree * (1 required)

Bachelor's Degree Master's Degree Doctoral Degree

24. What content is your degree? *

25. Do you have a teaching certificate with your home State or country?

26. Do you have an ACSI teaching certificate?

27. ADMINISTRATION AND SUPPORT STAFF

Elementary or Secondary Principal Superintendent or Assistant Superintendent Librarian* School Nurse* School Counselor* Ed & Instructional Technology Specialist*

28. TEACHING STAFF

Kindergarten teacher Elementary teacher (grades 1 to 6) Secondary teacher (grades 7 to 12) Learning Support Specialist Dorm Parents (married couples only)*

* Staff members filling these positions are usually required to teach at least one class. Please note what subjects you would be willing and qualified to teach.

29. What grade (for elementary) or subjects (for secondary) are you qualified to teach?

30. What administrative responsibilities or experiences have you had?

31. Please list activities or sports that you would be able and willing to direct, sponsor, advise, or coach.

32. Do you have any physical condition or handicap that may limit your ability to perform the job for which you are applying? *

Yes No

33. If yes, please describe

34. Have you ever been charged with or convicted of domestic violence or a crime against a child (under 12) or a minor (under 18)? *

Yes No

35. If yes, please describe

36. Has your teaching license or certificate ever been revoked? *

Yes No

37. If yes, please explain

38. Have you ever been fired from a teaching position? *

Yes No

39. If yes, please explain

40. Would you be willing to provide and submit to a criminal background check? *

Yes No

CHRISTIAN BACKGROUND

41. What is your denominational preference?

42. What church do you currently attend?

43. Current Pastor’s Name:

44. Are you presently a member in good standing?

Yes No

45. Years of attendance?

46. When and how did you receive Jesus Christ as your Lord and Savior?

47. What do Christ and Christian faith mean to you?

48. How does your Christian faith affect the way you live?

49. In what way(s) do you model Christian attitudes toward school, family, the church, and authority structures?

50. Explain the role of Christian community in your life and in your decision to apply to Mountainview. Describe your involvement in the church you attend.

51. Write about a time when you experienced racism, sexism or any other kind of discrimination. How did you respond?

REFERENCES

PROFESSIONAL REFERENCES :

52. Name

53. Position Title

54. Relation to Applicant

55. Place of Work (address)

56. Email

57. Phone

58. Name

59. Position Title

60. Relation to Applicant

61. Place of Work (address)

62. Email

63. Phone

64. Name

65. Position Title

66. Relation to Applicant

67. Place of Work (address)

68. Email

69. Phone

PERSONAL REFERENCES

70. Name

71. Position Title

72. Relation to Applicant

73. Place of Work (address)

74. Email

75. Phone

76. Name

77. Position Title

78. Relation to Applicant

79. Place of Work (address)

80. Email

81. Phone

82. Name

83. Position Title

84. Relation to Applicant

85. Place of Work (address)

86. Email

87. Phone

88. * (1 required)

I verify that all of the provided information is true and accurate. I understand that any intentional falsification of any portion of this application will be grounds for immediate dismissal.

89. Enter Your Email Address: *