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Instructor Application

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Contracted Instructor's Information Form

 

Thank you for your interest in providing contracted instruction to students through ETC. 

Please complete the form below.  By providing this information you agree to allow us to check the references you list. 
1. *

Full Legal Name: 
2. *

Email Address:
3. *

Mailing address:
4. *

Phone Number: (including area code)
5. *

Gender
6. *

Are you 18 years old or over?
7. *

Because we believe that it is important that Consortium students receive a Biblical education, we contract Christian teachers.  Please share your personal testimony of your faith in Jesus Christ, including your salvation experience.  Please also review our statement of faith found on the ETC website (etcnwa.com) under the "About ETC" tab.  ETC only contracts instructors who share our beliefs consistent with this statement.  Please contact the Consortium Director with any questions or concerns.
8. *

What is your highest level of education completed?
9. 

List any degrees you hold.
10. 

We believe informal education can be as valuable as formal education.  Please tell us about any education you have that might not be represented by a degree award.
11. *

Please list any teaching experience you have.  Include professional elementary, secondary, or collegiate teaching experience, as well as any volunteer teaching or tutoring you may have done. 
12. *

Personal/Character Reference

Please provide the name and contact information of the pastor of the church that you regularly attend.
13. *

Pastor's Name
14. *

Name of church:
15. *

Phone Number
16. 

Email address
17. 

If you cannot provide a pastoral reference, please explain why.
18. 

Teaching Reference

Please provide the name and contact information of coworker or supervisor at a teaching job, a former student, the parent of a former student, or another person who can testify to your teaching experience.
19. *

Contact's Name and Position
20. 

Phone number
21. 

Email address
22. *

Employment Reference
 
Please provide the name and contact information of a former employer, co-worker or another person who can testify to your work experience.
23. *

Contact's Name and Position
24. *

Phone number
25. *

Email address
26. *

Have you ever been convicted of a felony?
27. 

If yes, please explain.