East Gibson School Corporation
Application for Employment - Certified Staff
Basic Information and Questionnaire
Please fill out this section in its entirety
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Please Select
Yes
No
Have you ever filed an application with us before?
Please Select
Yes
No
If yes, you have previously filed an application with us, please provide the date below.
Have you ever been employed with us before?
Please Select
Yes
No
If yes, please give the dates of previous employment.
Are you currently employed?
Please Select
Yes
No
If yes, may we contact your present employer?
Please Select
Yes
No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? (Proof of citizenship or immigration status will be required upon employment.)
Please Select
Yes
No
On what date would you be available for work?
-
Month
-
Day
Year
Date
Are you available to work:
Please Select
Full Time
Part Time
Shift
Temporary
Are you currently on "lay-off" status and subject to recall?
Please Select
Yes
No
Can you travel if a job requires it?
Please Select
Yes
No
Have you been convicted of a felony withing the last seven (7) years?
Please Select
Yes
No
If yes, please explain.
Please select the position you are applying to from the drop down menu.
Please Select
Elementary Teacher - Certified (K-5)
Middle School Teacher - Certified (6-8)
High School Teacher - Certified (9-12)
Special Education Teacher - Certified
Teaching Assistant/Aide
Coach/Assistant Coach
Clerical
Administration
Education
Please fill in your formal education below
High School (Name & Location)
High School Diploma Type Received
Month and Year of Graduation
Undergraduate Degree (School Name & Location)
Undergrad Diploma/Degree Received (Ex: B.A. Elementary Education)
Month and Year of Graduation
Please describe course of study and any specialized training, apprenticeships, and extra curricular activities.
Graduate Degree (School Name & Location)
Graduate Diploma/Degree Received (Ex: Master's Curriculum and Instruction)
Month and Year of Graduation
Please describe course of study and any specialized training, apprenticeships, and extra curricular activities.
Employment History
Please start with your latest or present job. Include and job-related military service assignments and/or volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap, or other protected status.
1. Employer's Company Name
Employer's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer's Phone Number
Please enter a valid phone number.
Job Title
Supervisor's Name
Description of Work Performed
2. Employer's Company Name
Employer's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer's Phone Number
Please enter a valid phone number.
Job Title
Supervisor's Name
Description of Work Performed
3. Employer's Company Name
Employer's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer's Phone Number
Please enter a valid phone number.
Job Title
Supervisor's Name
Description of Work Performed
Equal Opportunity Employer
We consider applicants for all positions without regard to race, color, religion, sex, gender, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.
Please upload your cover letter and resume below.
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