Learning Hub Classroom Monitor Application for Employment

Learning Hub Classroom Monitor Application for Employment

Allegheny Center Alliance Church: 4 Allegheny Center 3rd Floor, Pittsburgh, PA 15212 Phone: 412-586-3681 Fax: 412-321-8533 “Following Jesus in Diverse Community”
The Learning Hub is designed to assist children in grades K-12 as they complete their online learning. You will need to build trust with the students, help with school work or home work, make sure children stay on track during the day, and problem solve minor technical issues as they arise.

The Classroom Monitor position operates during the school hours of the class to which you are assigned. Our hub is open Monday, Tuesday, Thursday, and Friday, through December 30, 2020. You will be required to attend training in preparation for the program and periodic meetings throughout the year.
We have half day and full day positions available. Please choose the option(s) below that you are available to work.

Morning (8:00AM-12:15PM) Afternoon (12:15PM- 4:30PM) Full day (7:00AM-3:30PM) Full day (7:30AM- 4:00PM) Full day (8:00AM- 4:30PM)
Today's date

Month Day Year
Date
Your Name:

First Name Last Name
Your Current Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Your Phone #:
Your Cell Phone #:
Your Email address:
example@example.com
Are you at least 18 years of age?

yes no
Educational Background

Include technical schools and/or other special training as it relates to the essential functions of the position applied for:
Select all levels of education you have attended:

High School/Secondary Technical/Vocational College/University Grad School/Seminary
Name of High School/Secondary school:
High School/Secondary City/State
High School/Secondary Major / Minor
High School/SecondaryYears completed
High School/Secondary Degree / Diploma?

yes no
Name of Technical/Vocational school:
Technical/Vocational School City/State
Technical/Vocational School Major / Minor
Technical/vocational School Years completed
Technical/Vocational School Degree / Diploma?

yes no
Name of College/University:
College/University City/State
College/University Major / Minor
College/University Years Completed
College/University Degree / Diploma?

yes no
Name of Grad School/Seminary:
Grad School/Seminary City/State
Grad School/Seminary Major / Minor
Grad School/Seminary Years completed
Grad School/Seminary Degree / Diploma?

yes no
References
Please provide 3 references (parents and family members are not applicable)
Reference 1:
Reference 1 Name:
What kind of reference will this person provide for you?

Business reference Personal reference Christian reference
Reference 1's email:
example@example.com
Reference 1's phone number

Area Code Phone Number
How many years have you know Reference 1:
What organization do you know Reference 1 through:
What position does Reference 1 have at their organization:
Reference 2:
Reference 2 Name:
What kind of reference will this person provide for you?

Business reference Personal reference Christian reference
Reference 2's email:
example@example.com
Reference 2's phone number

Area Code Phone Number
How many years have you know Reference 2:
What organization do you know Reference 2 through:
What position does Reference 2 have at their organization:
Reference 3:
Reference 3 Name:
What kind of reference will this person provide for you?

Business reference Personal reference Christian reference
Reference 3's email:
example@example.com
Reference 3's phone number

Area Code Phone Number
How many years have you know Reference 3:
What organization do you know Reference 3 through:
What position does Reference 3 have at their organization:
Employment Experience
List your last three employers beginning with the most recent. You may include any volunteer activities. Must be completed even if a resume is submitted. Please provide as much detail as possible.
Employer 1:
Employer 1 Name:
Employer 1 Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Employer 1 Work Phone Number:

Area Code Phone Number
Date you started employment with Employer 1:

Month Day Year
Date
Date you ended employment with Employer 1:

Month Day Year
Date
Would Employer 1 rehire you?

yes no
May we contact Employer 1 for a reference?

yes no
Employer 1 Supervisor's Name:
Employer 1 Supervisor's Title:
Your Position Title at Employer 1:
Reason for leaving Employer 1:
Starting hourly wage at Employer 1:
Ending hourly wage at Employer 1:
Summarize the work you performed at Employer 1:
Employer 2:
Employer 2 Name:
Employer 2 Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Employer 2 Work Phone Number:

Area Code Phone Number
Date you started employment with Employer 2:

Month Day Year
Date
Date you ended employment with Employer 2:

Month Day Year
Date
Would Employer 2 rehire you?

yes no
May we contact Employer 2 for a reference:

yes no
Employer 2 Supervisor's Name:
Employer 2 Supervisor's Title:
Your Position Title at Employer 2:
Reason for leaving Employer 2:
Starting hourly wage at Employer 2:
Ending hourly wage at Employer 2:
Summarize the work you performed at Employer 2:
Employer 3:
Employer 3 Name:
Employer 3 Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Employer 3 Work Phone Number:

Area Code Phone Number
Date you started employment with Employer 3:

Month Day Year
Date
Date you ended employment with Employer 3:

Month Day Year
Date
Would Employer 3 rehire you?

yes no
May we contact Employer 3 for a reference:

yes no
Employer 3 Supervisor's Name:
Employer 3 Supervisor's Title:
Your Position Title at Employer 3:
Reason for leaving Employer 3:
Starting hourly wage at Employer 3:
Ending hourly wage at Employer 3:
Summarize the work you performed at Employer 3:
Who recommended you to ACAC Learning Hub, or how did you hear about us (please be brief)?
Have you ever worked with any of our programs before?

yes no
Have you ever worked with any school age programming before? Where? When?
What experience have you had with children? What is your preferred age group?
What is your greatest strength?
What is an area of weakness for you?
Have you had any leadership experience? If so, please explain.
Are you presently involved in any ministry activity? If so, please describe:
Why do you desire to work for ACAC?
ACAC Employee Conduct Statement—Conditions of Employment (From the Employee Handbook)
Employee conduct directly impacts ACAC’s ability to fulfill its mission. Therefore, we expect employee conduct to be consistent with Biblical standards of morality. We also expect our employees to refrain from attempts to endorse or promote conduct contrary to Biblical standards. Employees are encouraged to manifest attitudes and behavior that reflect courtesy, friendliness, discretion, and enthusiasm to their fellow employees, members, and guests. Conduct such as inappropriate language, immodest attire, and immoral sexual conduct will be seen as inconsistent with our mission and identity and may result in unpaid suspension or other disciplinary action up to and including termination. The standards of conduct in this policy are conditions of employment with ACAC.
I have read the above statement on employee conduct and agree: *

yes
Applicant’s Statement
It is understood and agreed upon that the foregoing is true to the best of my knowledge, and that falsification of this application will be grounds for elimination from further consideration or, if employed by ACAC, for dismissal. I authorize ACAC to solicit information regarding my character, general reputation, credit, previous employment, and similar background information, and to contact any and all references I have given on my application. I release all parties and persons connected with any such request for information from all claims, liabilities and damages that may arise from furnishing such information. I understand and agree that in the performance of my duties as an employee of ACAC, or after I leave ACAC, that I must hold in confidence any and all information that I come in contact with regarding ACAC or its business.
I understand that my employment with ACAC is "at will", which means that either I or ACAC may terminate my employment at any time with or without cause. *

yes
Signature *

Clear
Today's date *

Month Day Year
Date
Should be Empty:

Learning Hub Classroom Monitor Application for Employment

Educational Background

References

Reference 1:

Reference 2:

Reference 3:

Employment Experience

Employer 1:

Employer 2:

Employer 3:

ACAC Employee Conduct Statement—Conditions of Employment (From the Employee Handbook)

Applicant’s Statement