NLA Licensed Employment Application

North Lakes Academy
Licensed Employment Application
Applicant Information
Last Name:
First Name
Middle Initial
Street Address
Apartment/Unit
City
State
Zip Code
Phone
Email
example@example.com
Position Preferred (Please include Subject and/or Grade Level):
1st Choice:
2nd Choice:
3rd Choice:
Previous Employment
Employer1:
Phone:
City/State:
Supervisor:
Job Title:
Salary:
From:
To:
Reason for Leaving:
May we contact this supervisor for a reference?

Yes No
Employer2:
Phone:
City/State:
Supervisor:
Job Title:
Salary:
From:
To:
Reason for Leaving:
May we contact this supervisor for a reference?

Yes No
Employer3:
Phone:
City/State:
Supervisor:
Job Title:
Salary:
From:
To:
Reason for Leaving:
May we contact this supervisor for a reference?

Yes No
Attachments
Cover Letter

Browse Files

Cancel of
Resume

Browse Files

Cancel of
Copy of License

Browse Files

Cancel of
Letter of Recommendation 1

Browse Files

Cancel of
Letter of Recommendation 2

Browse Files

Cancel of
Letter of Recommendation 3

Browse Files

Cancel of
Contingency, Certification, and Signature
I understand that all offers of employment are contingent upon a satisfactory criminal background check and school board approval. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature:

Clear
Date:

Month Day Year
Date
Should be Empty:

North Lakes Academy