Assistant Teacher Application

Job Description

Full Name*

First NameMiddle NameLast Name

Home Phone Number

Please enter a valid phone number.

Cell Phone Number

Please enter a valid phone number.

Email*

example@example.com

High School Name*

Years Attended*

Graduated?*

YesNo

College Name

Years Attended

Graduated?

YesNo

Degree / Major

Trade or Correspondence School

Years Attended

Graduated?

YesNo

Degree / Major

Please list any certifications you hold.

Teaching Experience

Please include the following for each previous position:

dates employed,
Employer name,
address and phone number,
Position,
Salary/Wage,
Supervisor's name and phone number,
and your reason for leaving.

Please email your resume to: knoxacademystl@gmail.com subject line "Assistant Teacher."

Most recent position*

Second most recent position

Third most recent position

Fourth most recent position

Volunteer Experience and Community Engagement

Please list any experience you have working with children.

Additional Experience with Children

In the field below, please respond to each of the following questions:

1. What experience do you have specific to the position you are applying for and how would you use that experience to be a success at Knox Academy?

2. Why do you want to be a teaching assistant at Knox Academy?

3. Describe your philosophy of teaching.

Narrative Response*

Please list 3 professional or personal references (not related to you).

Include: Name, Title, Email, Phone number, and nature of your relationship.

Professional and Personal References*

BACKGROUND INFORMATION

Are you, or have you ever been, listed on a sex offender registry?*

YesNo

Are you, or have you ever been, listed on a child or dependant adult abuse registry?*

YesNo

Have you ever been found guilty, accepted a guilty, or entered a plea of no-contest for any criminal charge?*

YesNo

Have you ever received a deferred judgment, or in some other way had a guilty plea or conviction removed from your record?*

YesNo

Have you ever received a deferred judgment, or in some other way had a guilty plea or conviction removed from your record?*

YesNo

If you answered “yes” to any of the above questions, provide date, incident, specific charge, city/state in which occurred:

Have you ever been asked to resign from a position, or been given the choice of resigning or being terminated from your position?*

YesNo

Have you ever been the subject of an investigation or other formal/informal proceeding that resulted in the termination of your employment or resignation?*

YesNo

Have you ever been the subject of an investigation into wrong doing or other formal/informal proceeding, resulting in disciplinary or criminal action?*

YesNo

Briefly explain any “yes” response(s):

Responding "yes" to any of the previous questions is not an automatic bar to employment. The date of the offense and the relationship between the offense or infraction and the position for which you are applying will be considered.

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

YesNo

Are you able to perform with or without reasonable accommodation, the essential job functions required of the position?*

YesNo

Have you had CPR and First Aid training within the last 2 years? If so, please list the date and training agency.*

AGREEMENT (Read carefully before signing or submitting electronically)

By my signature:

• 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 and federal law, Knox Academy LLC 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 Knox Academy LLC will consider public information and other information to which it has lawful access. 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 the Knox Academy LLC, it is my obligation to communicate this information to Knox Academy LLC.

• I authorize Knox Academy LLC to conduct a complete check regarding my background including, but not limited to, criminal record, child and dependent adult abuse registry screening, 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 Knox Academy LLC if I should be convicted of any 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 acknowledge that information that is relevant to Knox Academy LLC's decisions will be considered regardless of the date on which Knox Academy LLC obtains the information and regardless of the date on which the information was first published, created, or made accessible to Knox Academy LLC.

• I understand that this application will be considered active for twelve (12) months from the date filed. I further understand that if I am employed by Knox Academy LLC, this application and associated documents will become part of my permanent record.

• I understand that this application is not a contract of employment. In accepting the position, if hired, I understand that employment is at will unless otherwise specified by the State of MO. I acknowledge that Knox Academy LLC may discharge an at-will employee at any time for any legal reason or no reason at all.

By my electronic submission of this form:

• I attest that all the information contained in this application is accurate, complete, and true.

• I am bound by all elements of the agreement section of the application.

• I understand and accept that electronic submission will be considered equivalent to an original hand written signature on a paper copy of the application.

Name

First NameLast Name

Date

Signature

Please email your resume to: knoxacademystl@gmail.com subject line "Assistant Teacher."

Assistant Teacher Application

Personal Information