VAA Employment Application

Victory Autism Academy Employment Application

Please complete the form below to apply for a position with us.
How did you hear about the job?*

IndeedSchool WebsiteReferred by current VAA employee
Position for which you are applying:*

TeacherSupport StaffCustodial/MaintanceOffice StaffAdministrationVan DriverSLPACOTA
Location*
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
example@example.com
Phone Number*
Fingerprint Clearance Card- Every VAA Employee must obtain a valid IVP Fingerprint Clearance Card prior to their first day of work.*
Are you CPI (Crisis Prevention Intervention) Certified?*

YesNo
If yes, please provide the expiration date of your CPI

MonthDayYear
CPI Expiration Date
CPR/First Aid Certification- Every VAA Employee must be CPR/First Certified. *

MonthDayYear
If you are not certified, please contact HR and the information for certification will be provided. This must be completed within 30 days of hire.
Company/Position prior to Victory Autism Academy*
Start/End Date*
Educational Background
Prior Experience*
Explain any gaps in employment*
Honors/Distinctions- List any honors, commendations, elective or appointive offices held, or other distinctions received.
References

Please provide three professional references that we are able to contact to verify previous employment. You must provide at least one previous supervisor/manager as a reference.
Reference 1*
Reference 2*
Reference 3*
Have you ever been convicted of a violation of a law other than a minor traffic violation? (The term "conviction" includes any conviction, a guilty plea, a plea of nolo contendere or no contest, a suspended sentence, a deferred sentence, a deferred judgment, or a finding of guilt by a jury or judge.)*

YesNo
Have you ever been terminated or discharged, or resigned at the request of your employer from any job related to K-12 education?*

YesNo
Have you ever resigned in lieu of being terminated?*

YesNo
In connection with your professional responsibilities, have you ever been subject of a complaint, or disciplined by a court or licensing board of any state?*

YesNo
Are you currently under investigation, by any regulatory body, for any alleged misconduct or other alleged ground for discipline?*

YesNo
Has there been an incident that could affect your ability to work/teach in this school?*

YesNo
Upload Resume*

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Authorization Signature- Please read carefully and then sign your name if you agree to the terms of this understanding. I hereby certify that the statements made by me in this application and all related information which I have provided are true, accurate, and complete to the best of my knowledge. I understand that if I provide any false, inaccurate, or incomplete information, I will not be eligible for employment, or if I am hired, I will be subject to disciplinary action or dismissal regardless of the date on which Victory Autism Academy discovers the violation of its policy regarding application form dishonesty.*

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Victory Autism Academy Employment Application

References