Application for Employment

Full Name*

First NameLast Name

Position for which you are applying:*

Please indicate age group you prefer to work with (select all that apply):*

Are you interested in full- or part-time work?*

Full-time (30-40 hours per week)Part-time (less than 30 hours per week)Either/no preference

Email*

example@example.com

Phone Number*

Area CodePhone Number

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

First Reference Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email

example@example.com

Relationship to you*

Second Reference Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email

example@example.com

Relationship to you*

Third Reference Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email

example@example.com

Relationship to you*

Madison Community Montessori School is an equal opportunity employer and does not discriminate in its admission policy or in employment on the basis of family structure, age, race, ethnicity, color, gender or gender identity, creed, disability, political persuasion, national origin or ancestry, sexual orientation, military service, socioeconomic status, organizational membership, or any other status protected by law. We are committed to affirming and honoring the lived experiences of others and to learning and growth, together respecting children and their natural joy of discovery.

Please describe any experience you have with Montessori education, especially working with children in a Montessori setting:*

Why do you want to work in this position at Madison Community Montessori School?*

How did you hear about our school and this position?*

Are you legally eligible to work in the United States?*

YesNo

A complete job description is included on our website. After reviewing the job description, are you able to perform with or without reasonable accommodation, the essential job functions required of the position?*

YesNo

Have you received at least one dose of the COVID-19 vaccine, or are you able to commit to receiving your first dose prior to the start of work, with a commitment to be fully-vaccinated as soon as recommended after the first dose?*

Yes, I am fully-vaccinated against COVID-19Yes, I have received or will receive my first shot prior to the start of work and commit to completing the COVID-19 vaccination seriesNo

By my signature and electronic submission of this form:

• I attest that all the information contained in this application is accurate, complete, and true. I acknowledge that individuals who provide false, inaccurate, or incomplete information in the application form, in an interview, or any other part of the hiring process or who fail to disclose information requested in the application form, in an interview, or any other part of the hiring process will not be eligible for employment, or, if they are hired, they will be subject to termination.

• I acknowledge that to the fullest extent permitted by state, local, and federal law, MCMS will consider all information concerning an applicant or an employee in making hiring, termination, and other employment-related decisions. The term "all information" includes information of any kind (verbal, written, photographic, videographic, etc.) that is accessible in any medium (print, electronic, etc.) from any source.

• I acknowledge that MCMS employees are a representation of the school, and MCMS will consider during hiring public information and other information to which it has lawful access, except that it will not consider information related to any protected class or activity. This may include information that is contained in social networking sites, blogs, and other electronic sites, such as YouTube. If there is information that pertains to me that I believe requires explanation, interpretation, or clarification when it is considered by MCMS, it is my obligation to communicate this information to the MCMS.

• I authorize MCMS to conduct a complete check regarding my background to the extent permitted by law including, but not limited to, criminal record, child and dependent adult abuse, and sex offender registry. I agree to prepare and sign any other form necessary to complete a criminal background check. I further authorize all government agencies departments, bureaus, or related entities to release any and all information regarding my criminal history, if any. I agree to immediately notify MCMS if I should be convicted of any felony or child-related crime while my application is pending, or during my period of employment, if hired.

• I authorize all current and former employers, teachers, and references to release all information regarding my professional competence, performance, character, and background. I waive any right I may have against any person contacted as a reference concerning this application.

• I understand that this application is for a position that is considered employment at will under the laws of the State of Wisconsin, and understand and accept that electronic submission will be considered equivalent to an original hand written signature on a paper copy of the application.

Signature:*

Date:*

Date

Please upload your materials here:

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Application for Employment

References

Background

Agreement

Attachments