NLA Non Licensed Employment Application

North Lakes Academy
Employment Application
Applicant Information
Last Name:
First Name:
Middle Initial:
Street Address
Apartment/Unit
City
State
Zip Code
Phone
Email:
example@example.com
Position Applied for:
Education
High School:
City/State:
From:
To:
Did you Graduate

YesNo
Diploma:
College/University:
City/State:
From:
To:
Did you Graduate

YesNo
Degree:
Other Educational Institution:
City/State:
From:
To:
Did you Graduate

YesNo
Degree:
References
Please list three professional references.
Reference 1 Full Name:
Relationship:
Title:
Phone:
Reference 2 Full Name:
Relationship:
Title:
Phone:
Reference 3 Full Name:
Relationship:
Title:
Phone:
Previous Employment
Employer 1:
Phone:
City/State:
Supervisor:
Job Title:
Salary:
From:
To:
Reason for Leaving:
May we contact this supervisor for a reference?

YesNo
Employer 2:
Phone:
City/State:
Supervisor:
Job Title:
Salary:
From:
To:
Reason for Leaving:
May we contact this supervisor for a reference?

YesNo
Employer 3:
Phone:
City/State:
Supervisor:
Job Title:
Salary:
From:
To:
Reason for Leaving:
May we contact this supervisor for a reference?

YesNo
Have you ever been terminated or asked to resign in your employment history?*

YesNo
If yes, please describe reason for the dismissal.
Attachments
Cover Letter

Browse Files

Cancelof
Resume

Browse Files

Cancelof
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 of Application:

MonthDayYear
Date
Should be Empty:

North Lakes Academy

Employment Application

Applicant Information

Education

References

Previous Employment

Attachments

Contingency, Certification, and Signature