Employment Application

Note: Fields marked with an * are required.

PERSONAL INFORMATION

First Name *

Middle Initial

Last Name *

Current Address *

City *

State *

Zip *

Permanent Address (if different than current address)

City

State

Zip *

Phone Number *

E-mail Address *

Referred By

EMPLOYMENT DESIRED

Position *

Date You Can Start

Salary Desired

How did you hear about the position? *

Are you employed? *

Yes

If so, may we inquire of your present employer? *

Yes

Have you applied to HTLS previously? *

Yes

If you have previously applied, when?

EDUCATION & TRAINING

High School *

Name and location of school

Years Attended *

Did You Graduate? *

Subjects Studied *

College

Name and location of school

Years Attended

Did You Graduate?

Subjects Studied

Trade, Business or Correspondence School

Name and location of school

Years Attended

Did You Graduate?

Subjects Studied

List Any Relevant Continuing Education or Training *

List Computer/Software Skills Relevant to Position *

Do you have a state teaching certificate? *

Yes

If no, explain why not or what requirements have not been met to obtain a certificate

CHRISTIAN BACKGROUND

We are a member of and subscribe to the beliefs of the Lutheran Church Missouri Synod. Are you aware of the Lutheran Church Missouri Synod and its teachings and beliefs?

Yes

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

What is Your Denominational Preference? *

What is Your Local Church Affiliation? *

Pastor's Name

Pastor's Contact Number

Are You Currently a Member in Good Standing? *

Yes

How Many Years?

In What Church Activities Are You Involved? *

Describe Your Routine of Personal Bible Study & Prayer *

What Have You Found to be Helpful in Nurturing You Spiritually? *

FORMER EMPLOYERS

List below last four employers, starting with last one first.

DATE (MONTH & YEAR)

NAME OF EMPLOYER

SALARY

POSITION

REASON FOR LEAVING

From

Are you holding or have you already signed a contract for next year with any other educational institution?

Yes

REFERENCES

Give below the names of three persons not related to you, whom you have known at least one year. At least one must be a professional reference.

NAME

ADDRESS

BUSINESS

YEARS KNOWN

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified periods of time, or to make an agreement contrary to the foregoing , unless it is in writing and signed bay an authorized company representative."