St. David's Episcopal School Employment Application Form

St. David's Episcopal School Employment Application

Please complete form in its entirety
Position Applying For:*
Position
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SSN*
Driver's License #*
State of Driver License*
Date of Birth*

MonthDayYear
Date
Email Address*
Cell Number*

Area CodePhone Number
EDUCATION
High School Graduate/GED (year)
Name of high school/program
Degree: BA/BS (year)
Name of college
Master's Degree (year)
Name of college
Texas Certificate(s) Held
EXPERIENCE
Previous Work Experience #1*
Must list position, school/company name, dates of employment and name and number of supervisor
Previous Work Experience #2*
Must list position, school/company name, dates of employment and name and number of supervisor
Previous Work Experience #3*
Must list position, school/company name, dates of employment and name and number of supervisor
REFERENCES
Reference #1: Name, Address, Phone Number, Email and Relationship to the applicant*
Reference #2: Name, Address, Phone Number, Email and Relationship to the applicant*
Reference #3: Name, Address, Phone Number, Email and Relationship to the applicant*
BACKGROUND
Have you ever (please check all that apply):

Received a less than satisfactory employment evaluation from an employerBeen asked to resignHad your employment terminatedHad your contract non-extended or non-renewedHad your contract proposed for non-extension, non-renewal, or termination for some disciplinary reasonHad a teaching credential or license denied, revoked, or suspended in any stateBeen placed on disciplinary probation or suspended from any positionReceived a sanction from a credentialing or licensing authority, or had your credentials or license revoked or suspended by such authorityBeen the subject of a sexual harassment complaintHave you ever been (1) convicted of, or (2) plead guilty, or (3) received deferred adjudication, or (4) plead no contest (nolo contender) to a felony or misdemeanor other than minor traffic violations? The scope of inquiry includes but is not limited to, crimes of theft, rape, sexual assault, murder, swindling, indecency with a minor and possession or sale of marijuana or any category of illegal drugs?
If yes to above, please state where, when, and the nature of the offense; indicate whether the charges were dismissed as a condition of probation, suspension, or deferred adjudication:
If any of the boxes above are NOT CHECKED, it is my statement that the answer is NO to the question*

I agree with the statement to the left
Conviction of a crime is not an automatic bar to employment. We will consider the nature of the offense, the date of the offense, and the relationship between the offense and the position for which the applicant is applying.

St. David’s Episcopal School does not discriminate in hiring, promotion, discharge, or other aspects of employment on the basis of race, age, religion, disability, gender or national origin.

My signature indicates that all the information shared in this application is truthful and accurate.
Signature (please type your name)*
Today's date*
Start date available*

MonthDayYear
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