| APPLICATION FOR VOLUNTARY SERVICE |
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| PERSONAL INFORMATION |
Name:
Mr. Mrs. Ms.:
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Social
Security Number (SIN)
or your country's equivalent): (SIN)
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In which job(s) are you interested?
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Present
Address:
Street:
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City:
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State/Province:
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Country:
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Postal
Code:
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Phone
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Permanent
Address:
Street:
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City:
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State/Province:
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Country:
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Postal
Code:
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Phone
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Birthdate:
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Birthplace:
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Citizenship:
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Email
Address:
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| Marital
Status: Please select all that apply |
Single |
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Divorced |
Never Married |
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Divorced/Remarried with children |
Divorced-Remarried |
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Married with
children |
Married |
Dependent Children (Names and Ages):
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General Health:
Height:
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Weight:
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Do you have (or have you had) any health problems or physical handicaps which
might hinder your performance in any way?
No.
Yes. If yes, please explain...
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Have you ever suffered from or been treated for an emotional or mental illness?
No.
Yes. If yes, please explain
and include an analysis as to what degree this may or may not affect your work...
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Please list ways in which you like to spend your leisure time (hobbies, sports,
etc.)
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Please list community activities in which you are or have been involved.
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List and describe your two greatest strengths and your two greatest weaknesses.
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List the last five books you have read.
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Describe your efforts at personal and professional development.
(Please
attach a recent picture of yourself. (Preferable by yourself and not cut from a group) |
| EXPERIENCE
AND WORK PROFILE |
Total years of teaching experience (excluding student teaching:)
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Please list the following concerning your teaching experience, starting with the
most recent and proceeding in reverse chronological order. Please include name of school,
name of principal, address (city, state and zip code), phone number, dates of employment,
subjects/grades taught, and your reason for leaving. This should include teaching
experience only.
(If necessary, you may attach an additional page) |
Explain any gaps in the chronology above. Describe other work experience you may
have had outside the educational field and elaborate on previous teaching experience if
the above listing did not provide adequate space.
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Do you have a teaching credentials file?
No.
Yes. If so please enclose a
copy.
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Do you have a teaching license?
No.
Yes. If so please enclose a copy.
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Please list extracurricular activities which you feel qualified and willing on
direct.
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Other activities you would be interested in:
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| EDUCATIONAL
INFORMATION |
| High School Information |
Name of
School:
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Location:
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Years
Attended:
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Diploma
Obtained:
Yes.
No. |
University (College) Information
Please include transcripts of your college work. A photocopy is adequate. Complete the
following for all colleges and universities attended. Attach an additional sheet if you
attended more than two colleges/universities. |
Name of
School:
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Location:
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Years
Attended:
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Degree
Obtained:
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Major:
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Minor:
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Total
number of college credits:
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Number
of credits in education:
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Number
of credits in major field:
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Cumulative
GPA:
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Extracurricular activities in which you participated:
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Honors/Awards/Recognitions:
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| University
(College) Information |
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Name of
School:
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Location:
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Years
Attended:
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Degree
Obtained:
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Major:
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Minor:
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Total
number of college credits:
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Number
of credits in education:
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Number
of credits in major field:
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Cumulative
GPA:
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Extracurricular activities in which you participated:
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Honors/Awards/Recognitions:
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| (Attach an additional sheet if you
attended more than two universities/colleges)
In the box belowr, explain your Philosophy
of Education.
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| CROSS CULTURAL LIVING |
Do you know a foreign language?
No.
Yes. If yes, What language?
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| Describe your foreign language ability (ies) and/or experience.
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Are you willing to learn Spanish?
No.
Yes.
Being able to communicate in Spanish is not a
prerequisite for serving at IAS. Such ability, however, can facilitate communication with
Spanish speaking parents, or when conducting personal business in the community. It can
provide insight to the culture, and can help free staff members from over dependence on
others. It is also important for you to know that your schedule will be just as demanding
as serving in a state-side school, if not more so. |
Give a brief synopsis of your traveling experiences:
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Describe how you feel about working with people from different cultural,
racial,denominational backgrounds.
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Why would you like to work in Guatemala?
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Please explain how you heard of IAS:
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Do you have a passport?
No.
Yes. If yes, give the expiration date
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| RELIGIOUS
INFORMATION |
Church Affiliation:
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Church Membership:
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Name of
Church:
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Address:
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City:
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State/Province
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Country
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Phone
Number:
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Name of
Pastor:
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Church Involvement (offices held, activities):
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Have you ever shared your Christian faith with a group of people? If so would you
be able to share your faith with elementary and/or secondary students?
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Would you be willing to conduct a chapel service and share your faith with
elementary an/or secondary students at the Inter-American School?
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In box below, please give a
brief autobiographical statement. Be sure to include when and how
you became a Christian, and what being a Christian and Christ mean
to you.
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INTER-AMERICAN SCHOOL
• STATEMENT OF FAITH
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 | We believe the Bible to be the divinely inspired
Word of God, and therefore infallible and authoritative. |
| We believe in one personal and eternal God, who
manifests Himself in three persons; Father, Son and Holy Spirit. |
| We believe in the Lord Jesus Christ, the divine
Son of God: in His virgin birth, sinless life, death, resurrection, ascension, and His
glorious return. |
| We believe that all mankind is lost and needs the
regenerating work of the Holy Spirit, who convicts of sin, leading to repentance toward
God and faith in the Lord Jesus. |
| We believe in the ministry and work of the Holy
Spirit, who indwells all Christians and desires to fill them and make completely usable
the gifts which He alone gives, enabling them to live victoriously in this world. |
| We believe in the bodily resurrection of believers
to eternal life and unbelievers to eternal death. |
| We believe in the spiritual oneness of those who
are in Christ Jesus, accepting Him as Savior and serving Him as Lord. |
The information I have provided is, to the best
of my knowledge, true and accurate. I have read and I am in accord with the above
Statement of Faith. |
| Signature:________________________________________________
Date:_______________________ |
I understand that I will be
working with colleagues from several Christian fellowships and I promise not to be
contentious or divisive in promoting my personal doctrinal positions or those of my
fellowship.
Signature:_____________________________________
Date:______________________________________ |
| CHECK LIST
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| ? Completed all parts of the application ? Enclosed a photo
? Enclosed a copy of your state teaching license
? Enclosed (or made provisions for our receipt
of) a copy of your transcripts
? Enclosed a copy of your philosophy of education
? Enclosed a copy of your autobiographical
summary
? Made provision for two references and
credentials file (if available) to be sent
? Signed and dated this Application for Voluntary
Service form |