St. Peter's Employment Application Form

St. Peter's Employment Application Form
POLICY

St. Peter's Episcopal School does not discriminate on the basis of race, color, national origin, sex, handicap, gender or age in its employement practices as required by Title VI of the Civil Rights Act of 1064, as amended; Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975, as amended; and Section 504 of the Rehabilitation Act of 1793, as amended.
Date of Application*

MonthDayYear
Date
Name Of Applicant*

First NameMiddle NameLast Name
Other name that may appear on records. Ex. Maiden name (used for reference and background checks)

First NameLast Name
Current Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number*

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Email Address*
example@example.com
Are you currently employed or under contract*

YesNo
If yes, where?*
Have you previously been employed by St. Peter's Episcopal School?*

YesNo
Dates:*
May we contact your present employer for a recommendation?*

YesNoContact Me First
Position Desired:*

Elementary TeacherPre-School TeacherStaff/OfficeSubstituteSummer CampAventuras (After Care)Holiday Camp (Thanksgiving, Christmas, Spring Break)
Attributes: (select all that apply)*

Elementary (All Subjects)BilingualPhysical EducationReadingSpecial EducationOffice/ClericalOther
Expected Salary Range:*
EDUCATIONAL BACKGROUND

Official transcripts of all completed college/university coursework should accompany this application.
High School Name, Address, Dates Attended*
College/University Name, Address, Dates Attended*
Degree Received:*

YesNo
Name of Degree Received*
Did you attend another college/university?*

YesNo
College/University Name, Address, Dates Attended*
Degree Received:*

YesNo
Name of Degree Received*
Did you attend another college/university?*

YesNo
College/University Name, Address, Dates Attended*
Degree Received:*

YesNo
Name of Degree Received*
Major Area (Undergraduate)*
Type N/A if not applicable
Minor Area (Undergraduate)*
Type N/A if not applicable
Did you have another degree?*

Yes - Master'sYes - OtherNo
Major Area (Graduate)*
Minor Area (Graduate)*
Type N/A if not applicable
Please list other degrees/certifications:
Please select the highest education level that you have completed:*

Associate’s DegreeBachelor's DegreeMaster's DegreeDoctorate Degree
Do you have a license to teach in the state of Tennessee:*

YesNo
If No, are you in an Alternative Certification Program?*

YesNo
Do you have an Out-of-State Educator Certificate:*

YesNo
If yes, please list Educator Certificate, Teaching Fields, Effective Date and Expiration Date
Student Teaching History*
District/Company, Supervisor, Phone, Position Held, Dates
WORK HISTORY - Please provide consecutive Work History beginning with the most recent.
Current/Most Recent Employment: Company Name, Supervisor, Phone number or Email, Position Held, Dates*
Reason for leaving:*
May we contact this employer?*

YesNo
Previous Employer: Company Name, Supervisor, Phone number or Email, Position Held, Dates*
Type N/A if not applicable
Reason for leaving:*
May we contact this employer?*

YesNoN/A
Previous Employer: Company Name, Supervisor, Phone number or Email, Position Held, Dates*
Type N/A if not applicable
Reason for leaving:*
May we contact this employer?*

YesNoN/A
Previous Employer: Company Name, Supervisor, Phone number or Email, Position Held, Dates*
Type N/A if not applicable
Reason for leaving:*
May we contact this employer?*

YesNoN/A
PROFESSIONAL DATA
Please list relevant professional activities. Omit references to organizations that would reveal race, age, ethnic origin, or religion.
GENERAL INFORMATION
Are you legally authorized to work in the United States for our Company?*
Do you now, or will you in the future, require sponsorship for employment visa status (e.g., H-1B visa status, etc.) to work legally for our Company in the United States?*
If presently employed, why do you wish to leave?
What date would you be available to start work?*
Have you ever been refused tenure or a continuing contract? If yes, please explain.*
Have you ever had a license or certificate revoked or suspended? If yes, please explain.*
Have you ever been discharged or requested to resign from any position? If yes, please explain.*
Have you ever been convicted of a misdemeanor or felony in any court of law and/or received probation or deferred adjudication?*

YesNo
Have you ever been convicted of a felony? If yes, please explain.*
Do you have criminal charges or proceedings pending against you? If yes, please explain.*
Do you have a relative who serves on the St. Peter's Episcopal School Board? If yes, please provide the relatives name and relationship.*
How did you hear about the position? Were you referred by any of our staff or student family members? If yes, please provide the name and relationship.*
REFERENCES

List the names and email/phone number of at least three persons, not related to you, who can speak with knowledge of your personal and professional qualifications for the assignment which you seek. Teaching applicants with work experience must provide recommendations from principals and/or superintendants from all contracted educational work experiences within the past 3 years. If experience was not within the past three years, provide references from last c ontracted experience. Beginning teachers must include references from their student teaching supervisor(s) and cooperating teacher(s).
1st Reference*

First NameLast Name
1st Reference Employer*
1st Reference Phone Number

Area CodePhone Number
1st Reference Email*
example@example.com
2nd Reference*

First NameLast Name
2nd Reference Employer*
2nd Reference Phone Number

Area CodePhone Number
2nd Reference Email*
example@example.com
3rd Reference*

First NameLast Name
3rd Reference Employer*
3rd Reference Phone Number

Area CodePhone Number
3rd Reference Email
example@example.com
APPLICATION AGREEMENT

I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations or ommissions of fact may be grounds from rejection of my application or dismissal from subsequent employment.

I authorize the references listed to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all such parties from liability for any damage that may result from furnishing the same to you.

I understand that the school is authorized by Tennessee Education Code 49-6-3001(c)(3)(A)(iii) to obtain criminal history record information on applicants the school intends to employ.
Please sign to agree to these terms. This application becomes the property of St. Peter's Episcopal School upon signature. The school reserves the right to accept or reject it. This application shall be considered active for a period not to exceed two years. Any applicant wishing to be considered for employment beyond this time period may not inquire as to whether or not applications are being accepted at that time. *

Clear
Please upload resume, certifications, licenses, and any educational transcripts you have.

Browse Files

Cancelof
Today's Date*

MonthDayYear
Date
Have you been convicted of a crime?*

I have been convicted of a crime.I have not been convicted of a crime.
If convicted, describe the crime(s) and the particulars of the conviction(s) in the space below:*
I am a current or prospective:*

EmployeeVolunteerContractor/Vendor
Signature*

Clear
Should be Empty: