Secure Form

Teacher Application National

MOUNTAINVIEW CHRISTIAN SCHOOL

PO Box 142, Salatiga 50711, Jateng, Indonesia

aPhone: 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. Home Phone

3. Mobile Phone *

4. Birth Date *

5. Gender *

Male Female

6. Religion / Faith *

7. Street Address *

8. City *

9. State *

10. Country *

11. Postal Code

12. Marital Status *

Single Married Separated Divorced Remarried Widowed

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

14. If married, give spouse name

15. Names and ages of children

16. Primary language spoken in the home *

17. Secondary languages (if any)

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

Yes No

19. When can you begin work?

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

Yes No

21. How did you hear about Mountainview? *

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

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

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

25. Our teachers assist the boarding program by supervising dorm students, for an evening or for a weekend, on a rotational basis to give the dorm parents some time off. Are you willing to assist in this service a few times per semester? *

Yes No

PERSONAL HISTORY

26. Do you smoke? *

Yes No

27. Do you drink alcohol? *

Yes No

28. Have you ever used illegal drugs or inappropriate controlled substances? *

Yes No

29. If yes, please give clarification

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

Yes No

31. If yes, please describe

32. 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

33. If yes, please describe

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 Has your teaching license or certificate ever been revoked?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

Yes No

35. If yes, please explain

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

Yes No

37. If yes, please explain

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

Yes No

POSITION FOR WHICH YOU ARE APPLYING

39. Academic Degree * (1 required)

Bachelor's Degree Master's Degree Doctoral Degree

40. What content is your degree? *

41. SUPPORT STAFF

Librarian Teaching Assistant Computer Network Specialist School Nurse

42. TEACHING STAFF

Kindergarten teacher Elementary teacher (grades 1 to 6) Secondary teacher (grades 7 to 12) Special education teacher

* 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.

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

44. What administrative responsibilities or experiences have you had?

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

REFERENCES

PROFESSIONAL REFERENCES :

46. Name

47. Position Title

48. Relation to Applicant

49. Place of Work (address)

50. Email

51. Phone

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

PERSONAL REFERENCES

64. Name

65. Position Title

66. Relation to Applicant

67. Place of Work (address)

68. Email

69. Phone

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

CHRISTIAN BACKGROUND

To be completed by Christian applicants.

82. What is your denominational preference?

83. What church do you currently attend?

84. Current Pastor’s Name:

85. Are you presently a member in good standing?

Yes No

86. Years of attendance?

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

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

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

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

91. 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.

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

93. * (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.

94. Enter Your Email Address: *