High Achievers Aim High Job Application
Social Security Number
Date of Birth
Street Address Line 2
State / Province
Postal / Zip Code
Highest level of education
Do you hold any Education Licenses/Certifications? If so please list below.
What, if any, related work or volunteer experience do you have working with children? What age group?
Do you have any experience with working with children with special needs?
Have you ever been convicted of a crime? (HAAH volunteers & workers will be required to provider copies of recent BCI and FBI Background Checks).
Which position(s) are you applying for?
Special Education Specialist
Substitute Teacher (Floater)
Summer Program Staff (Seasonal)
Substitute Summer Program Staff (Seasonal)
Are you available:
Are you willing to be on call? Substitute or be a Floater?
What day are you available to start?
Why are you interested in, or qualified to work with HAAH?
What special qualities would you bring to our team?
List 3 references below (Name and Number). Please indicate if you are not willing to have your references contacted.
How did you hear about us?
Please Upload Resume
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