Employment & Instructional Staff Application
Complete this form with your contact details, position interests, qualifications, and references.
Applicant Information
Full Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
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The Bahamas
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Benin
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Brazil
Brunei
Bulgaria
Burkina Faso
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Canada
Cape Verde
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Central African Republic
Chad
Chile
China
Christmas Island
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El Salvador
Equatorial Guinea
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Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
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Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
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North Korea
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
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Lithuania
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Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
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Isle of Man
US Virgin Islands
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Western Sahara
Yemen
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Other
Country
City
*
State
*
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
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Ohio
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
*
How did you hear about RTS Learning Foundation?
*
Facebook/Social Media
Website
School District
Employee Referral
Indeed
Friend/Family
Other
Position Information
Positions Interested In
*
Tutor
Summer Program Instructor
After-School Instructor
Adult ESL Instructor
GED Instructor
Educational Assistant
Site Leader
Administrative Support
Volunteer
Other
Employment Type
*
Full-Time
Part-Time
Seasonal
As Needed
Available Start Date
*
-
Month
-
Day
Year
Date
Education & Qualifications
Highest Level of Education
*
Please Select
High School Diploma
Associate Degree
Bachelor's Degree
Master's Degree
Doctorate
Other
Do you currently hold a teaching license?
*
Yes
No
Teaching License Type
Please Select
Standard Teaching License
Temporary Teaching License
Emergency Teaching License
Substitute Teaching License
Professional Teaching Certificate
Special Education License
ESL/ELL Endorsement
Other
Years of Educational Experience
*
Professional Certifications
Child Development Associate (CDA)
TESOL/TEFL Certification
Special Education Certification
Reading Specialist Certification
School Counseling Certification
Principal/Administrator Certification
First Aid/CPR Certification
Other
Current Employment
Are you currently employed?
*
Yes
No
Are you currently employed by a school district or educational organization?
*
Yes
No
School district
School name
Current position
Grade level(s)
Does your employer require disclosure or approval of outside employment?
Yes
No
Unsure
Employment History
Current or Most Recent Employer
*
Current or Most Recent Position
*
Dates Employed (Current or Most Recent)
*
-
Month
-
Day
Year
Date
Current or Most Recent Supervisor
Reason for Leaving (Current or Most Recent)
*
Please Select
Still Employed
Career Change
Relocation
Laid Off
End of Contract
Personal Reasons
Other
Previous Employer
*
Previous Position
*
Dates Employed (Previous)
*
-
Month
-
Day
Year
Date
Reason for Leaving (Previous)
*
Please Select
Career Change
Relocation
Laid Off
End of Contract
Personal Reasons
Other
Experience
Student populations you have experience working with
Early childhood
Elementary school
Middle school
High school
College/University
Adult learners
Special education
English language learners
Gifted and talented
At-risk youth
Other
Instructional experience
Classroom teaching
One-on-one tutoring
Small group instruction
Curriculum development
Lesson planning
Assessment and grading
Online instruction
Substitute teaching
Workshop facilitation
Training and mentoring
Other
Professional skills
Communication
Classroom management
Differentiated instruction
Behavior support
Technology integration
Data analysis
Collaboration
Leadership
Conflict resolution
Lesson design
Other
Availability
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Earliest Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Latest End Time
*
Hour Minutes
AM
PM
AM/PM Option
Available Evenings?
*
Yes
No
Available Saturdays?
*
Yes
No
Reliable Transportation?
*
Yes
No
Programs Interested In
*
Infant/Toddler
Preschool
School-Age
Before/After School
Summer Program
Special Education
Other
Professional References
Reference #1 Name
*
First Name
Middle Name
Last Name
Reference #1 Relationship
*
Reference #1 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference #1 Email
*
example@example.com
Reference #2 Name
*
First Name
Middle Name
Last Name
Reference #2 Relationship
*
Reference #2 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference #2 Email
*
example@example.com
Short Answer Questions
Why are you interested in working for RTS Learning Foundation?
*
What strengths would you bring to our students?
*
Describe your approach to creating a positive learning environment.
*
Why do you believe every student deserves access to high-quality educational opportunities?
*
Applicant Eligibility
Are you legally authorized to work in the United States?
*
Yes
No
Have you ever been convicted of a crime that would legally prevent you from working with children or vulnerable populations?
*
Yes
No
If yes, please explain
Conditions of Employment
Possible Pre-Employment Requirements
Acknowledgment
*
I understand that the listed items are conditions of employment.
Applicant Certification
Certification
*
I certify that all information provided is accurate and complete.
Electronic Signature
*
First Name
Last Name
Date
*
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Month
-
Day
Year
Date
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