Ezekiel Preparatory Academy Employment Application

Ezekiel Preparatory Academy Employment Application

Apply to join the Founding Team at Ezekiel Preparatory Academy for the 2026-2027 school year. Please complete all required fields and acknowledgments for consideration.
Personal Information
Full Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State
Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Preferred Method of Contact
Education
High School
College/University
Degree Earned
Major
Graduation Date

MonthDayYear
Date
Additional Certifications
Resume Upload

Cancelof
Professional Licensure & Certifications
Licensure/Certification held

Other
Other - please specify
Employment History
Employer 1 - Employer Name
Employer 1 - Position Held
Employer 1 - Start Date

MonthDayYear
Date
Employer 1 - End Date

MonthDayYear
Date
Employer 1 - Supervisor Name
Employer 1 - Supervisor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Employer 1 - Supervisor Email
example@example.com
Employer 1 - Reason for Leaving
Employer 1 - May We Contact This Employer?
Employer 2 - Employer Name
Employer 2 - Position Held
Employer 2 - Start Date

MonthDayYear
Date
Employer 2 - End Date

MonthDayYear
Date
Employer 2 - Supervisor Name
Employer 2 - Supervisor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Employer 2 - Supervisor Email
example@example.com
Employer 2 - Reason for Leaving
Employer 2 - May We Contact This Employer?
Employer 3 - Employer Name
Employer 3 - Position Held
Employer 3 - Start Date

MonthDayYear
Date
Employer 3 - End Date

MonthDayYear
Date
Employer 3 - Supervisor Name
Employer 3 - Supervisor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Employer 3 - Supervisor Email
example@example.com
Employer 3 - Reason for Leaving
Employer 3 - May We Contact This Employer?
Autism & Special Needs Experience
Have you worked with students with Autism Spectrum Disorder?
Have you worked in any of the following settings?

Other
Describe your experience supporting students with autism and/or developmental disabilities.
What behavior support strategies have you used in previous roles?
Have you collaborated with therapists, behavior analysts, or special education teams before?
Describe your experience implementing behavior plans, accommodations, or individualized learning plans.
Mission & Philosophy Alignment
Why do you want to work at Ezekiel Preparatory Academy?
What interests you about serving children with autism?
How would you create a supportive and inclusive classroom environment?
Describe a challenging student situation and how you handled it.
What do you believe is the most important quality for an educator working with special needs students?
Training Commitment
Training Commitment Statement
Acknowledgment of Training Requirements
Additional Comments on Training Commitment
Availability
Earliest Start Date

MonthDayYear
Date
Full-Time or Part-Time
Available Monday-Friday
Desired Salary or Hourly Rate
References
Reference 1
Name
Relationship
Organization
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Reference 2
Name
Relationship
Organization
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Reference 3
Name
Relationship
Organization
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Background Check & Employment Eligibility
Acknowledgments
Electronic Signature
I certify that all information submitted in this application is true and complete to the best of my knowledge.
Electronic Signature

First NameLast Name
Date

MonthDayYear
Date
Initials
Should be Empty:

Ezekiel Preparatory Academy Employment Application

Personal Information

Education

Professional Licensure & Certifications

Employment History

Autism & Special Needs Experience

Mission & Philosophy Alignment

Training Commitment

Availability

References

Background Check & Employment Eligibility

Electronic Signature