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Name of Applicant

Teaching Area

ROCKHURST HIGH SCHOOL

+ The Jesuit College Preparatory School in Kansas City +

APPLICATION FOR EMPLOYMENT

MISSION STATEMENT Rockhurst High School serves the greater Kansas City area by educating Ignatian leaders, MEN FOR OTHERS, in the Roman Catholic Jesuit college preparatory tradition. In the spirit of St. Ignatius Loyola, the school's goal is the formation of the whole person within a diverse and disciplined environment, as one who is open to growth, strives for academic excellence, is religious, loving and committed to justice through service. Rockhurst High School is a school sponsored by the Society of Jesus (Jesuits) and follows the four hundred fifty-yearold tradition of St. Ignatius Loyola and Jesuit education. Rockhurst is a school recognized for excellence in education, leadership and service. Each year over 98% of our graduates attend college. A college preparatory school, Rockhurst is a member of the Jesuit Secondary Education Association, the National Catholic Education Association and the North Central Association of Colleges and Schools. THE SCHOOL'S EXPECTATIONS Rockhurst High School exists to form young men who are becoming "persons for others." The School's Mission Statement forms the practical ramifications for Rockhurst's expectations of teachers. Rockhurst seeks to hire and retain faculty members who are proficient in their fields, who are men and women of faith, and who are persons committed to leading students in co-curricular and pastoral ministry activities. Once hired, teachers are expected to familiarize themselves with Ignatian traditions and values. The school expects teachers to keep current with professional development activities appropriate to their fields of instruction, as well as to participate in the school's in-services, retreats and days of recollection regarding Ignatian formation and development.

-0Kindly complete this application and return it to office of the principal.

INCLUDE WITH YOUR APPLICATION: Please write several paragraphs for each question below on a separate sheet of paper. What do you hope to accomplish as a classroom teacher? How do you develop multicultural themes in your subject area? What role will technology play in your classroom? Why do you want to teach at Rockhurst High School? How does your faith in God influence your life and your teaching? Also include: a copy of your resume; a photocopy of your university transcripts; a photocopy of your teaching certificate(s).

AN EQUAL OPPORTUNITY EMPLOYER

9301 State Line Road + Kansas City, Missouri + 64114 + 816.363.2036

A. PERSONAL INFORMATION Name: (Last) (First) (Middle) Address: _______________________________________________________________________________ (Street) _______________________________________________________________________________________ (City) (State) (Zip) Telephone: Are you a Roman Catholic? Have you ever been convicted of a felony? Will you be able to meet attendance requirements of Rockhurst High School? Social Security No. _____________________________ Yes Yes Yes No No No

EDUCATION School High School: College: Graduate: Other: Degree Major Hours GPA

TEACHING CERTIFICATE/LICENSE Type of License Endorsed Area(s) State of Licensure Licensure #

NUMBER OF UNDERGRADUATE/GRADUATE HOURS IN TEACHING AREA(S) Teaching Area/Subject 1. 2. 3. # of Undergraduate Hours (circle Sem. or Quarter Hrs.) Sem/Qtr. Hrs. Sem/Qtr. Hrs. Sem/Qtr. Hrs. # Graduate Hours (circle Sem. or Quarter Hrs.) Sem/Qtr. Hrs. Sem/Qtr. Hrs. Sem/Qtr. Hrs.

B. TEACHING EXPERIENCE PREVIOUS TEACHING EXPERIENCE School Student Teaching: Current Position: Other teaching: City/State Subject/Grade Dates Supervisor

Reasons for leaving present position: ____________________________________________________________ Does your present employer know you will not return? Are we free at this time to contact your present employer? Yes Yes No No

Person to contact (Name/Title): _____________________________Phone: (____)________________________ TOTAL YEARS TEACHING EXPERIENCE Grade School Junior High School High School College/University

C. CREDENTIALS AND REFERENCES Are your placement papers on file at a college? Yes No

Where? __________________________________________________________________________________ Have you sent a release for this information? Yes No

PROFESSIONAL REFERENCES - List at least three past supervisors or school principals Supervisor Title School/District/Job Phone

List any other work experience outside of the education field and not listed previously: OTHER WORK EXPERIENCES Job Title Dates Company/Location Supervisor/Phone

D. ACTIVITIES/CLUBS/SPORTS/PASTORAL SUPPORT Please indicate school clubs, sports, committees and/or spiritual formation work that you have participated in or directed.

E. RELEASES AND SIGNATURE "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 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 all parties from all liability for any damage that may result from furnishing same to you." "If I am a finalist for this position, I authorize Rockhurst High School to conduct a background check of my driving record, records of criminal convictions, and education credentials."

SIGNATURE _________________________________________

DATE _________________________

Kindly return this completed application, along with all requested ancillary materials, to office of the principal.

Thank you for your interest in Rockhurst High School.

A.M.D.G.

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