AOD Job Application Form 2020

Academy of Dallas Employment Application

Please complete the form below to apply for a position with us.
Full Name*

First NameMiddle NameLast Name
Date of Application:

MonthDayYear
Date
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number

Area CodePhone Number
Please type the last 4 digits of your Social Security Number:*
Applying for Position*
Referral Source

AdvertisementFriendRelativeWalk-InAgencyOther
If employed and you are under 18, can you furnish a work permit?

YESNO
If YES, please give date:

MonthDayYear
Date
Have you file an application before?

YESNO
Have you ever been employed at AOD before?

YESNO
If YES, please give date:

MonthDayYear
Date
Are you employed now?

YESNO
May we contact your present/previous employer?

YESNO
Will you require Academy of Dallas Charter School to provide a Visa and/or immigration status? If "NO", proof of citizenship or immigration status will be required upon employment.

YESNO
On what date would you be available to start:

MonthDayYear
Date
Are you available to work:

Full-TimePart-TimeTemporary
Have you ever been convicted of or pled "no contest" or "guilt" to a felony at any time?

YESNO
Are you currently awaiting trial or other disposition of a felony charge in connection with which you are currently out on bail on your own recognizance?

YESNO
If "YES" to above question, please explain:
Note: A conviction record will not necessarily be a bar to employment, and factors such as the applicant's age at the time of the offense, the age of the offense, the nature of the offense and seriousness of the violation will be taken into account.
Education and Training
Please list all/any honors you have received:
High School Name:
High School Location (City and State):
Year Graduated:
College Name:
College Location (City and State):
Year Graduated:
Vocational School / Specialized Training:
Vocational School / Specialized Training Location (City and State):
Year Graduated:
Military:
Are you a member of the Armed Services?
What branch of the military did you enlist?
What was your military rank when discharged?
How many years did you serve in the military?
Please describe any specialized training, apprenticeship, skills, and extra curricular activities:
Employment Experience

List all jobs starting with your present or last job. Include military service assignment and volunteer activities in which are relevant to job experience.
Employer (1) Name:
Employer (1) Phone #:

Area CodePhone Number
Employer (1) Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Performed:
Job Title:
Start to End Date:
Hourly Rate/Salary
Employer (2) Name:
Employer (2) Phone #:

Area CodePhone Number
Employer (2) Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Performed:
Job Title:
Start to End Date:
Hourly Rate/Salary
Employer (3) Name:
Employer (3) Phone #:

Area CodePhone Number
Employer (3) Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Performed:
Job Title:
Start to End Date:
Hourly Rate/Salary
Certification

If applying for a teacher position, please complete the certification section below:
Texas Certificate:
Please tell the certificate number and expiration date:
Texas Certificate Number:
Texas Certificate Expiration Date:

MonthDayYear
Date
Elementary Certificate:
Elementary Certificate Number:
Elementary Certificate Expiration Date:

MonthDayYear
Date
Secondary Certificate:
Secondary Certificate Number:
Secondary Certificate Expiration Date:

MonthDayYear
Date
Please list other Trade/Professional License you currently hold:
Each of the following questions must be answered with a "YES" or "NO". If "YES", please attach an explanation.
Have you ever had a teaching certification denied, revoked or suspended in any State?

YESNO
If "YES", please attach your explanation:

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Have you ever been asked to resign from a position?

YESNO
If "YES", please attach your explanation:

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Student Teaching

If you have any experience of student teaching, please share the following information.
Date

MonthDayYear
Date
School Name:
City/State:
Grade Level(s)
Subject(s):
Are you physically and mentally able to perform the essential duties of the job for which you are applying either with or without reasonable accommodations?

YESNO
AT-WILL EMPLOYMENT
The relationship between you and Academy of Dallas Charter School is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Academy of Dallas Charter School. No representation of Academy of Dallas Charter School has the authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding employment can alter your at-will employment status, except for a written statement signed by you and either our district Superintendent.
Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, or other factors prohibited by law.
Please upload your resume, cover letter, Texas State Teacher Certification (copy), Out of State Teacher Certification (copy), College Transcripts, and Three (3) References (email and phone number).

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By checking the box below, you are providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.*

YES
Should be Empty:

Academy of Dallas Employment Application

Education and Training

Employment Experience

Certification