Name

Phone Number

Email Address

Years of Teaching Experience?

What have you taught? (Include subject and grade level)

What grade(s) and subject(s) are your preference to teach?

Are you interested in 2 Day (Tuesday & Thursday) or a 4 Day (Monday-Thursday) schedule? Are you interested in 2 Day (Tuesday & Thursday) or a 4 Day (Monday-Thursday) schedule? 2 Day (Tuesday & Thursday) 4 Day (Monday-Thursday)

Do you have children that will be attending Lead? Do you have children that will be attending Lead? Yes No

If yes, please list the grades they will be enterting.

Do you currently worship or serve in a local Christian church? Do you currently worship or serve in a local Christian church? Yes No

If yes, in what capacity do you serve?

Please list church and Pastoral Reference contact information.ducation. In what ways are you involved in the discipleship and education of your student? How will you assist your student in being a successful student at LEAD Academy?

Please list any university degrees, certifications or continuing education.

Please list three teaching and/or character references (Name and Phone Number)

Outside of the classroom, what are your gifts and talents? How would you be willing to use them to help LEAD?

Please provide your testimony of following Christ.

Testimony (continued)