Thank you for you interest in working with StaffEZ!
Please take your time and fill in all required fields for your application. When you have finished, click submit and one of our Account Directors will reach out to you within 24-48 hours.
Which state are you applying to work in?
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District of Columbia
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Which district are you applying to work in?
*
What type of job are you applying to work in?
*
Administrative
Classroom - Interim Certified Teacher
Classroom - Special Educator
Classroom - Substitute Teacher
Classroom - Tutoring Program
Facility Services
Food Services
Nursing Services
Transportation
Other
General Application Questions
Are you over the age of 18?
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Yes
No
Are you legally authorized to work in the US?
*
Yes
No
PLEASE NOTE!!
Proof of citizenship or prior authorization to work within the US WILL b.e required.
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Personal Information
Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
Select your date of birth
Gender at Birth
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Male
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Social Security Number
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Please enter your SSN in the format provided above
Contact Information
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Is this phone a cell phone?
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Yes
No
If yes, would you like to receive text notices of open and available positions that you qualify for?
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Address
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Street Address
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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
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Educational Background
Please list all educational institutions attended.
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Work History
Please enter all work history for at least the last 5 years
Please list prior employer information below:
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Additional Qualifications
Please list any additional relevant Certifications, Licenses or Trainings below. Any items listed will need to be documented if you wish them to be considered prior to employment.
Please list any additional qualifications here:
Military Service
Do you have a record of service in the US Military?
*
Yes
No
Military Service Record
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Educational Employment Questions
Please answer to the best of your ability. Space is provided for extra details.
1. Have you ever been employed by an Educational Institution?
*
Yes
No
2. Have you ever Retired from a Public School System?
*
Yes
No
3. Have you ever been dismissed from employment, asked to resign, resigned in lieu of termination or been refused re-employment?
*
Yes
No
1-3b Additional Information. Please provide additional details below for any YES answers in questions 1-3 above:
0/500
4. Have you ever had a teaching, school counselor, school psychologist, nursing or school administrator certificate revoked?
*
Yes
No
4b Additional Information. Please provide additional details below for any YES answers in questions 4 above:
0/500
5. Is there currently or are you aware of any pending action against your teaching, school counselor, school psychologist, nursing, or school administrator license?
*
Yes
No
5b Additional Information. Please provide additional details below for any YES answers in questions 5 above:
0/500
6. Have you ever surrendered any teaching, school counselor, school psychologist, nursing, or school administrator license?
*
Yes
No
6b Additional Information. Please provide additional details below for any YES answers in questions 6 above:
0/500
7. Have you ever had your employment terminated from ANY Educational Institution or any staffing vendor of an educational institution?
*
Yes
No
7b Additional Information. Please provide additional details below for any YES answers in questions 7 above:
0/500
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Criminal History Disclosure
Please answer the following questions to the best of your knowledge. A full and comprehensive criminal history background check is required for all positions.
Have you ever been convicted of or plead guilty or no contest to any felony or misdemeanor that is not a civil infraction? (This excludes minor traffic violations)
*
Yes
No
Conviction Disclosure Details:
0/1000
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Acceptance & Signature
PLEASE DO NOT SIGN UNTIL YOU HAVE READ THE APPLICANT STATEMENT CAREFULLY.
Signature
By typing your name into the form below and submitting this form you are consenting to digital signatures. Please type your full name in the box provided below and click 'Submit' to finalize your application for employment with StaffEZ.
Name
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First Name
Middle Name
Last Name
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