Employment Application

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Date of Birth*

Answer required for "Date of Birth"

Current Address*

Answer required for "Current Address"

Email Address*

Answer required for "Email Address"

Phone Number*

Number Required

Education

High School and Graduation Year*

Answer required for "High School and Graduation Year"

College (Name and Graduation Year)

Answer required for "College (Name and Graduation Year)"

College (Name and Graduation Year)

Answer required for "College (Name and Graduation Year)"

Credentials (Optional)

Credential Information (Include name, Expiration date, and any details)

Answer required for "Credential Information (Include name, Expiration date, and any details)"

Credential Information (Include name, Expiration date, and any details)

Answer required for "Credential Information (Include name, Expiration date, and any details)"

Credential Information (Include name, Expiration date, and any details)

Answer required for "Credential Information (Include name, Expiration date, and any details)"

Has your credential ever been suspended or revoked?

Answer required for "Has your credential ever been suspended or revoked?"

Have you ever been dismissed or asked to resign from any teaching position?*

Answer required for "Have you ever been dismissed or asked to resign from any teaching position?"

Yes

Have you ever been convicted or entered a plea of “nolo contendere” for anything other than a minor traffic violation?*

Answer required for "Have you ever been convicted or entered a plea of “nolo contendere” for anything other than a minor traffic violation?"

Yes

For any question in which the answer is “yes”, please attach a written explanation.

Answer required for "For any question in which the answer is “yes”, please attach a written explanation."

How much experience have you had in schools*

Answer required for "How much experience have you had in schools"

No Experience

Less than 1 year

2-5 years

5+ years

If you have had experience please write the school name, location (city & state), teaching assignment, and for how long (years).

Answer required for "If you have had experience please write the school name, location (city & state), teaching assignment, and for how long (years)."

Work Experience outside of Education

Please list up to the past 3 employers and include the name, address, duties or responsibilities and reason for leaving.

Answer required for "Please list up to the past 3 employers and include the name, address, duties or responsibilities and reason for leaving."

List any persons you are NOT related to, whom you have known at least one year. Please include the name, address, phone number, relationship, and how long you have known them.

Answer required for "List any persons you are NOT related to, whom you have known at least one year. Please include the name, address, phone number, relationship, and how long you have known them."

Note to applicant

Please fill in your name (First and Last) one more time to attest that you filled out the form and it will act as your signature.

I hereby attest that the statements made in this application are true and complete to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize the investigation of all the statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise. I release the companies above from all liability for any damage that may result utilization of such information.*

Answer required for "I hereby attest that the statements made in this application are true and complete to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize the investigation of all the statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise. I release the companies above from all liability for any damage that may result utilization of such information."

Cover Letter and Resume

Answer required for "Cover Letter and Resume"

Choose a file or drag it here.

Please fix the highlighted areas below before submitting.

Employment Application