Please list three individuals who are very familiar with your professional work and character who may be contacted. Please include their name, position, phone #, and email.

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

1. Why do you want to be an educator or team member with the 24/7 Learning Academy?

2. What experience do you have specific to the position you are applying for and how would you use that experience to be a success in the 24/7 Learning Academy?

3. Describe your greatest accomplishment.

List honors, commendations, elective or appointive offices held, or other distinctions received.

BACKGROUND INFORMATION

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.

IF YES, PLEASE FILL OUT NEXT SECTION

Military Duty

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.

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, 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center 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, video graphic, etc.) that is accessible in any medium (print, electronic, etc.) from any source.

• I acknowledge that 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center 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 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center, it is my obligation to communicate this information to 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center.

• I authorize 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center 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 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center 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, colleagues, 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 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center’s decisions will be considered regardless of the date on which 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center obtains the information and regardless of the date on which the information was first published, created, or made accessible to 24/7 Learning Academy.

• 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 the 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center, 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. I acknowledge that 24/7 Teach, 24/7 Learning Academy, or 24/7 Learning Center may discharge an at-will employee at any time for any legal reason or no reason at all.