Full legal name:

Please list any other names you have used and the dates if any were legally changed and type n/a if not applicable:

Birth Date:

Social Security number:

Drivers license number (for background check purposes:

Address:

Home Phone:

Work/Cell Phone:

Email Address:

Marital Status:

Have you ever been accused or arrested for anything other than a traffic violation?

If yes, please explain or n/a if not applicable.

Please share your salvation testimony, your motivations for serving in this ministry and your recognized personal and/or spiritual strengths and/or weaknesses. Current teachers write "on file" in the box below.

What church do you attend?

How long have you attended your church?

Are you a member in good standing at your church?

In what church activities/ministries are you involved and with what degree of regularity?

Pastor name and contact information: (a personal reference will be required)

Provide the name and contact information of someone in your life for a personal reference, who would be willing to speak briefly to one of the AFW leaders on your behalf.

The commitment to teaching requires a minimum of 2 days per week on Mondays/Wednesdays with the potential of Fridays. Check off your level of commitment (you may choose more than one option):

I am interested in potentially teaching in the following grades (check all that apply):

I am qualified and led to teaching in the following subjects (check all that apply):

Ideally, how many hours would you like to teach?

Personal Philosphy: In the space below, please answer the following:

A. Why do you value Christian Education? 

B. What are the main characteristics that distinguish a Christian school from a secular school?

C. What do you consider being the proper classroom atmosphere for learning?

D. What is your philosophy of discipline in the classroom

E. Please summarize any additional information that you would like to present regarding your candidacy for this position

Professional Qualifications: Please provide answers to the following:

1. High School Graduate or GED

2. College Degree

3. Degree Received

4. First Aid/CPR certified

Please indicate in order of preference the following: 

1. Desired Grade(s) to teach 

2. Subject(s)

3. Any other information you would like to share

Employment History:  Sequentially list any teaching experience with the most recent first (current teachers write "on file"

1. Company

2. Dates of Employment

3. Position Address

4. Reason for leaving

Instructor biographies will be added to our classes along with a recent photo. 

Please provide a short biography to be posted along with your class. Include your educational background, how many years you have been homeschooling, a short description of your family, and any other details you would like to share with prospective parents and students. 

As a teacher at Agape Innovative Learning Center, I will not teach any other doctrine that conflicts with the Statement of Faith. Though my personal beliefs and convictions may differ from this statement, I will agree to comply.

Digital Signature/Date: