Teacher Application

Teacher Application
THE DIOCESE OF COLORADO SPRINGS

228 North Cascade Avenue, Colorado Springs, Colorado 80903
APPLICATION FOR EMPLOYMENT: TEACHER

(Full time & Part time)

In order that your application may be properly evaluated, it is essential that all of the following questions be answered carefully and completely. Applications will not be processed unless completed in full and accompanied by all of the requested documentation. If you do not hold a current Colorado license, you must apply with CDE upon application or be willing to complete the Catholic Educator Formation and Credential program through the Institute for Catholic Education Liberal Education.

In addition to this application, please also submit the following:
1. Current Colorado State Teaching License (copy).
2. Copies of all college Transcripts.
3. Resume’
4. 3 (or more) Letters of recommendation
5. Copies of any teaching certification from other states.
PERSONAL INFORMATION
Name

First NameMiddle NameLast Name
Have you ever used a different name (maiden or alias)? If so, specify the name.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Social Security Number
Previously Employed by a Diocese?

NoYes
Where?
If Yes, when?
Email Address
example@example.com
Position Applying For
When can you start?

MonthDayYear
Date
How were you referred to us?
RELIGIOUS INFORMATION

It is not a requirement to be Catholic to be a teacher in our schools, except for those who teach Religion or serve in administration. However, we like to assess one's faith-in-action involvement, regardless of denomination.
Religious Affiliation:
Practicing Catholic?

YesNo
Parish where registered:
Pastor/Minister
Phone Number

Area CodePhone Number
Please send a signed statement from your Parish/Church attesting that you are a registered, active, contributing member of the Church.
Check any activities in which you currently participate:

AdorationAltar/Rosary SocietyAltar ServerChoirChurch fundraising activitiesCouncil memberExtraordinary Minister of CommunionHospitalityKnights of ColumbusLectorReligious Ed. ClassesUsher
Did you attend Catholic School?

YesNo
Grade Levels:

K-56-8College9-12
Total number of years?
As an educator, how would your faith impact your teaching?
POSITION DESIRED
Pick one

Full TimePart TimeEither
I would like to do substitute teaching, if I am not selected for a regular position.

YesNo

Designate in order of preference (1,2,3,4,or N/A the level preferred)

	1st Choice	2nd Choice	3rd Choice	4th Choice	N/A
Kindergarten
Primary Grades (1-3)
Intermediate Grades (4-5)
Middle School (6-8)

Are you bilingual?

YesNo
If so, what language do you speak?

Select the subjects you are capable of teaching, either by training or experience, in the area below.

	Kindergarten	Primary	Intermediate	Middle School
Art
English
Foreign Language
Language Arts
Math
Music
Physical Education
Reading
Religion
Science
Social Studies
Athletic Coach
Counselor
Media Specialist /Librarian
Special Education
Technology/Computer

Extracurricular activities you might be interested in sponsoring (sports, chess club, robotics, etc.)

PROFESSIONAL INFORMATION
1
State
Type of Qualification
Date Issued
Certificate Number
Date of Expiration
2
State
Type of Qualification
Date Issued
Certificate Number
Date of Expiration
3
State
Type of Qualification
Date Issued
Certificate Number
Date of Expiration
4
State
Type of Qualification
Date Issued
Certificate Number
Date of Expiration
EDUCATIONAL BACKGROUND
Date (month and year) you received your Bachelor's Degree
Major
Minor
Name and location of College/University
List all credit hours received beyond the bachelor's degree. Specify whether quarter (Q) or semester (S) hours.
e.g. 2015-2016, Washburn University. Topeka, Ks, Education, 3 credits (S)
Date (month and year) you received your Master's Degree
Major
Minor
Name and location of College/University
I allow the Office of Catholic Schools of the Diocese of Colorado Springs to share my transcripts with schools within this Diocese to which I may be applying.
(enter name)
List any additional special skills, technical or professional knowledge which you may have:
U.S. MILITARY RECORD
Service Branch
Final Rank
Entered Date

MonthDayYear
Date
Discharged Date

MonthDayYear
Date
What were your duties?
What special training did you receive?
REFERENCES

Give three or more references, including superintendents and principals under whom you have taught. These persons should have first-hand knowledge of your character, personality, scholarship, and teaching ability.
Please list each reference's name, title, work address, and telephone number.

PHILOSOPHY OF CATHOLIC EDUCATION
Statement of Philosophy of Catholic Education
1. Why did you choose teaching as a profession?
2. What are your strengths?
3. Where do you need improvement?
4. How would you differentiate a superior teacher from a mediocre teacher?
5. How do you think your peers would describe you?
6. How will (do) you go about finding out about students' attitudes and feelings about your class?
7. How do you meet the needs of individual children?
8. What can your principal expect from you? Why should we hire you? What contribution can you make?
9. Please describe your reasons for wanting to teach in a Catholic School.
Resume Upload
Upload a copy of your resume here

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Upload copies of any certification here

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Upload letters of recommendation here

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Upload any other files here

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APPLICANT'S DECLARATION
AUTHORIZATION AND RELEASE

My answers on this application and on any resume’ I provide are complete and true. I understand that the submission of any false or incomplete information in connection with my application, whether on this or other documents or in interviews, will be cause for the rejection of my application or the termination of my employment at any time. I authorize the Diocese of Colorado Springs and its agents to verify any information related to my application or resume. I also authorize and direct individuals, schools, employers, and law enforcement or government officials to freely provide any information concerning my background, and hereby release any and all of them from any liability for doing so.
Signature*

Clear
Electronic Signature (your name)
Date*

MonthDayYear
Date
The Diocese of Colorado Springs shall comply with appropriate federal and state laws and regulations prohibiting discrimination in employment on the
grounds of race, color, national origin, protected age category, gender, marital status, military status or physical or mental disability of any individual who is otherwise qualified.
Should be Empty:

Teacher Application

THE DIOCESE OF COLORADO SPRINGS

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