MITCH EMPLOYMENT APPLICATION FORM
  • MITCH EMPLOYMENT APPLICATION FORM

  • PERSONAL INFORMATION

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  • EMERGENCY CONTACT DETAILS

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  • Section 2: Education and Professional Information

  • CURRENT OREGON TEACHING LICENSE (IF ANY)

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  • EDUCATIONAL AND PROFESSIONAL BACKGROUND

  • TEACHING EXPERIENCE

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  • Section 3: Working Experience

    (Not teaching related)
  • PREVIOUS EMPLOYMENT

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  • REFERENCES

  • OTHER CERTIFICATES

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  • SKILLS/OTHERS

  • PERSONAL HISTORY

  • SPECIAL TRAINING

  • Please use the key to indicate experience or training in any of the following specific classes or workshops.

    T = Training

    E = Experience

    T/E = Both

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  • EQUAL OPPORTUNITY INFORMATION

  • MITCH Charter School provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

  • DRUG-FREE WORKPLACE

  • MITCH Charter School is committed to maintaining drug-free workplaces and complying strictly with all applicable state and federal statutes and regulations in employment and school district programs.

  • APPLICATIONS AND AUTHORIZATION

  • MITCH Charter School will normally keep the application on file for three years. I understand that any errors on this application may prevent my application from being evaluated or hired at MITCH Charter School. I authorize MITCH Charter School to obtain information about my criminal records. I authorize all governmental agencies to provide information about my criminal records to MITCH Charter School and/or the school district.

    I verify that all information on this employment application is true and complete. I understand that any misrepresentation, falsification, or omission on this application or other documents submitted to MITCH Charter School will be sufficient because this application is not to be considered by, referred to, or for discharge if I have been employed. I authorize MITCH Charter School to check my references, obtain information from my prior employers and educational institutions, add to take other actions to investigate any information provided in my employment application, and obtain information relevant to evaluating my qualifications and fitness for a teaching position. I authorize my listed references, past employers and educational institutions, and anyone else with information about my work history, education qualification, or fitness to provide such information to MITCH Charter School, for which I have completed an employment application. I release MITCH Charter School and all persons providing information to MITCH Charter School from any liability whatsoever for obtaining and providing that information, regardless of the results.

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  • VOLUNTARY INFORMATION

  • This information is voluntary and is collected only for Equal Employment Opportunity reporting purposes. This form will be physically separated from you other application materials and will not affect the application process in any manner. Should you prefer not to provide this information, there will be no effect on your application.

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  • SECTION I: RACE/ETHNICITY

    Please select ALL that apply.
  • SECTION II: VETERANS STATUS

  • *Protected veterans include the following categories: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These categories are defined below. 1. A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval, or air service who is entitled to compensation (or who, but for the receipt of military retired pay, would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person discharged or released from active duty because of a service-connected disability. 2. A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service. 3. An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval, or air service during a war or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. 4. An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

  • Voluntary Self-Identification of Disability

    OMB Control Number 1250-0005 Expires 04/30/2026
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