134-1 Nobormata, Nakagusuku, Okinawa 901-2421, Japan
Ismael Sapoval
Principal

Tel.: 098-870-3893
Fax: 098-870-3894

Personal Details
Please enter data, or print out this form and complete the details In block letters.
Today's date:Role applying for:
Teacher
Staff

Specific subject or area of work:

Salutation:

Last name:First name:

Home address:
Phone:City:

State:

E-mail Address:

Home Emergency Contact - Name:

Middle name(s):Zip:Date of birth (dd/mm/yyyy):
Country:

Nationality:

Gender:Passport number:

Relationship:

Emergency contact phone number:Present Employer in Japan (if applicable):

Employer Address:

Japanese employer’s phone number:

Marital Status:

Spouse's name:

Spouse's occupation:

Child's name:Date of birth:

Enroll at NLA?

Child's name:Date of birth:

Enroll at NLA?

Child's name:Date of birth:

Enroll at NLA?

Educational Background(For teacher applicants: All teachers must hold a Bachelor's degree in Education or its equivalent, OR a Master's
OR a state or ACSI issued Teaching Credential or license.)

College / University

Dates

Degree / Diploma

Major

Minor

Work Experience

EmployerAddress

Have you ever worked in anInternational school?

If yes, where?

PhonePosition

Years at job

If yes, when?

References:
Please provide two references (include a Supervisor or Principal and your Pastor
NameRelationship Address
Phone number Email address

Please ensure the email address details are accurate and legible on any printed copies.

What date are you available for work?
How many years do you hope to work with New Life Academy?
Do you have a teaching credential?
From what state or province?
Or from what association?
Are you willing to help with extracurricular activities?
For teachers:
What grade level have you taught in the past?
What grade level would you like to teach?
What are you willing to teach?
What do you feel you are good or gifted at?
In a separate document or piece of paper, please write out your personal testimony of salvation.
In a separate document or piece of paper, briefly explain why you would like to work at New Life Academy.

Applicants' Certification and Agreement
I hereby certify that the facts set forth in this application are true and complete to the best of myknowledge. I understand that discovery of falsification of any statement or significant omission of fact
during any phase of the hiring process may prevent me from being hired or, if hired, may subject me
to immediate dismissal.
I authorize New Life Academy to inquire about my work and personal history and to verify all data
given in my application for employment, related papers, and my oral interviews. I authorize therelease and giving of information requested by New Life Academy such as employment records,performance reviews, and personal. I release any person, organization, or company from liability ordamage that may result from furnishing the information requested. I further waive the right topersonally view any references given to New Life Academy.
I further certify that I have carefully read and do understand the above statements.

Signature of Applicant

We look forward to receiving your application. Please include a copy of your resume and two recent
photographs (4 cm x 3 cm) taken within the last three months.
Thank you for your interest in the ministry of New Life Academy. It is our prayer that God will fulfill
His perfect will in the lives of all applicants.
Ismael Sapoval
isapoval@newlifeacademy.com