Employment Application
High Point Academy is an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, and age, physical or mental disability.
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
E-mail
*
example@example.com
Social Security Number
*
What position are you applying for?
*
High School Math Teacher
Special Education Teacher
Elementary Assistant Principal
Substitute Teacher
Bus Driver
Would you consider substituting if not hired?
Yes
No
How did you Learn About Us?
*
Advertisement
Friend
Internet
Relative
Job Fair
Other
Date of Application:
*
-
Month
-
Day
Year
CERTIFICATION/LICENSURE
Please enclose a copy of your certificate with this application.
Do you hold a valid teaching certificate/license?
*
Yes
No
Recent Graduate, Application in Process
Type of credential (i.e. Provisional, Certificate, Continuing, etc.)
Licensed to teach in the following area(s)
Date Issued
-
Month
-
Day
Year
Date
Date Expires
-
Month
-
Day
Year
Date
Have you ever had your teaching certificate revoked or suspended?
*
Yes
No
Not Applicable (Never had a teaching certificate)
If you answered Yes to above question, explain why?
EMPLOYMENT INFORMATION
Have you ever filed an application with us before?
*
Yes
No
If above answer was Yes, when?
-
Month
-
Day
Year
Date
Have you ever been employed with us?
*
Yes
No
If above answer was Yes, when?
-
Month
-
Day
Year
Date
Are you currently employed?
*
Yes
No
On what date would you be available to work?
*
-
Month
-
Day
Year
Date
Are you looking for Temporary, Part time, or Full Time?
*
Full time
Part time
Temporary
If hired, can you provide evidence of U.S. citizenship or your legal right to work in the U.S?
*
Yes
No
Have you ever been convicted of or pled no contest to any crime, other than a minor traffic violation? (Conviction will not necessarily disqualify an applicant.)
*
Yes
No
Are there any felony charges pending against you?
*
Yes
No
If "yes" to either of the two previous questions, please indicate where, when, and explain circumstances.
EDUCATIONAL BACKGROUND
*
School or Institution and Location
Dates
Major/Minor
Diploma, Degree, or Credits Earned
G.P.A. (Grade Point Average)
High School
College/University
Graduate
Other (Specify)
Are you presently enrolled in a planned program of study?
*
Yes
No
If yes to above, which college and toward what goal?
EMPLOYMENT EXPERIENCE
Start with your present or last job.
Present or most Recent Job...
*
Employer
Telephone Number
Address
City
State
Zip Code
Start Date
End Date
Salary
Position
Starting $
Ending $
Reason for leaving:
Previous Job
Employer
Telephone Number
Address
City
State
Zip Code
Start Date
End Date
Salary
Position
Starting $
Ending $
Reason for leaving:
Previous Job
Employer
Telephone Number
Address
City
State
Zip Code
Start Date
End Date
Salary
Position
Starting $
Ending $
Reason for leaving:
Previous Job
Employer
Telephone Number
Address
City
State
Zip Code
Start Date
End Date
Salary
Position
Starting $
Ending $
Reason for leaving:
ADDITIONAL INFORMATION
ADDITIONAL INFORMATION
Summarize any additional information that will give us a more complete estimate of your training, experience, character and ability. Emphasize any special preparation and training, your experience with extra-curricular activities, and any area of further training including military or other.
*
REFERENCES
Please list 3 references who have first-hand knowledge of your character and working ability in the area you are applying for. (Do not include relatives, current and past employers wanted.)
REFERENCE #1
*
Name
Position
Address
City
State
Zip
Phone
Alternative Phone
Year(s) associated with Reference (from_____ to_____)
REFERENCE #2
*
Name
Position
Address
City
State
Zip
Phone
Alternative Phone
Year(s) associated with Reference (from_____ to_____)
REFERENCE #3
*
Name
Position
Address
City
State
Zip
Phone
Alternative Phone
Year(s) associated with Reference (from_____ to_____)
How do you prefer to submit your resume?
Upload File
Provide URL
Upload File
Upload a File
Drag and drop files here
Choose a file
Cancel
of
URL:
Website URL of your resume
APPLICANT’S ACKNOWLEDGEMENT
(Please read carefully before signing and dating the application.) I certify that all questions are fully and correctly answered. I understand that false statements or failures to discuss certain information may disqualify me for employment or, if employed, may result in my dismissal. I authorize the release of information that may be required to make an employment decision from present and past employers, educational institutions, appropriate law enforcement agencies, and all other relevant sources. I release all parties from all liabilities for providing or using such information. All information (including information on any accompanying resume) is subject to verification. The results from any criminal records or background check may be grounds for disqualifying me or terminating my employment. I recognize that neither this application nor any future employment is a contract. If I become employed, my employment will be at-will and for no definite period of time. I will be free to end my employment at any time for any reason, and High Point Academy Charter School has the same right. These provisions supersede any oral or written representation contrary, whether before or after my employment, unless a written statement is signed and dated by the hiring committee at High Point Academy Charter School.
Signature
Date
-
Month
-
Day
Year
Date
Submit
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