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Employment Application
Jones-Gordon School
2023-12-29T14:11:58-07:00
Employment Application
"
*
" indicates required fields
Step
1
of
5
20%
Application for Employment
First Name
*
Middle Name
Last Name
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Available Start Date
*
MM slash DD slash YYYY
What type of employment are you interested in?
*
(Check all that apply)
Full Time
Part Time
Occasional ("As-Needed")
Temporary/Seasonal (< 6 months)
Independent Contractor
Willing to work (if needed):
(Check all that apply)
outside of regular business hours
weekends
during school breaks
What days and/or hours are you unable or unwilling to work?
Are you a former JGS/OTT employee or independent contractor?
*
Yes
No
If yes, provide dates:
Are you legally eligible for employment in the U.S. without sponsorship?
*
(Proof of identity & eligibility required upon employment.)
Yes
No
If you were referred to us, please provide the following:
Individual’s name:
Relationship to you:
If not referred to us, how did you learn of this employment opportunity?
Areas of Interest
(Check all that apply)
*
(Check all that apply)
Administration/Management
Clerical
Faculty
Support Staff
Tutor
Specific position(s) desired:
Subjects you are qualified to teach:
Activities you are qualified to lead:
Educational Background
Name and Location of School/College/University
Course of Study
(Provide Major/Minor)
GPA
Degree/Credits Earned
(Do not provide year)
Graduated?
Yes
No
Name and Location of School/College/University
Course of Study
(Provide Major/Minor)
GPA
Degree/Credits Earned
(Do not provide year)
Graduated?
Yes
No
Name and Location of School/College/University
Course of Study
(Provide Major/Minor)
GPA
Degree/Credits Earned
(Do not provide year)
Graduated?
Yes
No
Name and Location of School/College/University
Course of Study
(Provide Major/Minor)
GPA
Degree/Credits Earned
(Do not provide year)
Graduated?
Yes
No
Certifications, Endorsements, and Licenses
Verification will be completed based on the information provided.
Certificates, Endorsements or Licenses (Explain Type)
State of Issue
Issued/Award Date
Expiration Date
Certificates, Endorsements or Licenses (Explain Type)
Issued/Award Date
State of Issue
Expiration Date
Certificates, Endorsements or Licenses (Explain Type)
State of Issue
Issued/Award Date
Expiration Date
Certificates, Endorsements or Licenses (Explain Type)
State of Issue
Issued/Award Date
Expiration Date
Have you ever been denied a teaching certificate or license, or had your teaching certificate or license suspended or revoked?
Yes
No
Not Applicable
If yes:
Denied
Suspended
Revoked
Which State(s):
Do you have a current Fingerprint Clearance Card?
*
(IVP required)
Yes
No
In Process
Card Number:
Issue Date:
Expires:
List any additional relevant certifications, specialized trainings, honors/awards
(Please also describe any specific academic programs with which you have experience—i.e. specialized math, phonics, reading or writing programs, if applying for a teaching position)
Employment History
Provide accurate and complete history starting with current/most recent (please DO NOT put “see resume”).
School/Employer:
Location
Phone
Dates of Employment From:
MM slash DD slash YYYY
Dates of Employment To:
MM slash DD slash YYYY
Beginning Title/Position:
Salary Start:
per
(hour/day/year)
Ending Title/Position:
Salary End:
per
(hour/day/year)
Description of Duties:
(If teaching position, list grades and subjects taught)
Reason for Leaving:
Name and Title of Supervisor:
May we contact this employer?
Yes
No
If no, why?
School/Employer:
Location
Phone
Dates of Employment From:
MM slash DD slash YYYY
Dates of Employment To:
MM slash DD slash YYYY
Beginning Title/Position:
Salary Start:
per
(hour/day/year)
Ending Title/Position:
Salary End:
per
(hour/day/year)
Description of Duties:
(If teaching position, list grades and subjects taught)
Reason for Leaving:
Name and Title of Supervisor:
May we contact this employer?
Yes
No
If no, why?
School/Employer:
Location
Phone
Dates of Employment From:
MM slash DD slash YYYY
Dates of Employment To:
MM slash DD slash YYYY
Beginning Title/Position:
Salary Start:
per
Ending Title/Position:
Salary End:
per
Description of Duties:
(If teaching position, list grades and subjects taught)
Reason for Leaving:
Name and Title of Supervisor:
May we contact this employer?
Yes
No
If no, why?
School/Employer:
Location
Phone
Dates of Employment From:
MM slash DD slash YYYY
Dates of Employment To:
MM slash DD slash YYYY
Beginning Title/Position:
Salary Start:
per
(hour/day/year)
Ending Title/Position:
Salary End:
per
(hour/day/year)
Description of Duties:
(If teaching position, list grades and subjects taught)
Reason for Leaving:
Name and Title of Supervisor:
May we contact this employer?
Yes
No
If no, why?
Have you ever been asked to resign or involuntarily been terminated from a job?
*
Yes
No
If yes, please explain:
Have you encountered gaps in your employment history that are NOT due personal illness, injury or disability?
*
Yes
No
If yes, please explain, but please do not list information pertaining to personal illness, injury or disability:
Driving Record
Complete for driving positions only. Please be aware that teachers may be required to drive for school purposes.
Do you possess a valid, unexpired driver’s license:
*
Yes
No
State of Issue:
Do you have access to a vehicle to use for business purposes, if applicable to the position?
*
Yes
No
Is there any reason that you would not be approved as a driver when a motor vehicle record report is run?
*
Yes
No
Is yes, explain:
Criminal Record
Have you ever been convicted of a crime(s), including misdemeanors?
*
Yes
No
If yes, explain in full:
*NOTE: The conviction of a crime does not necessarily exclude a candidate from consideration of employment.
Professional References
List three references who have knowledge of your professional/teaching experience. (Only list people you want contacted. Do not list relatives or HES/JGS employees. All information is required.)
Name
Phone/Email
Occupation/Business
Relationship
Length Known
Name
Phone/Email
Occupation/Business
Relationship
Length Known
Name
Phone/Email
Occupation/Business
Relationship
Length Known
Please submit copies of each of the following along with your application (as applicable):
Current Resume, Letters of Recommendation, Teaching Certificate, Fingerprint Clearance Card
Drop files here or
Select files
Max. file size: 512 MB.
Applicant's Authorization and Agreement
I AFFIRM THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS TRUTHFUL AND ACCURATE, TO THE BEST OF MY ABILITY. IN SUBMITTING THIS APPLICATION, I UNDERSTAND THAT ANY EMPLOYMENT IS CONDITIONAL ON A BACKGROUND CHECK AND THAT AN INVESTIGATIVE CONSUMER REPORT, IN ACCORDANCE WITH APPLICABLE LAW, MAY BE MADE WHEREBY INFORMATION MAY BE OBTAINED REGARDING MY CHARACTER, PREVIOUS EMPLOYMENT, EDUCATIONAL BACKGROUND AND CRIMINAL HISTORY. I AUTHORIZE ANYONE POSSESSING THIS INFORMATION TO FURNISH IT TO JONES-GORDON FOUNDATION / THE JONES-GORDON SCHOOL / ON-TRACK TUTORING (JGF), UPON REQUEST AND I RELEASE JGF FROM ALL LIABILITY AND DAMAGES WHATSOEVER IN FURNISHING, OBTAINING, OR USING SAID INFORMATION. I UNDERSTAND THAT UPON WRITTEN REQUEST WITHIN A REASONABLE PERIOD OF TIME, I CAN OBTAIN FROM JGF WRITTEN DISCLOSURE OF THE NATURE AND SCOPE OF ANY SUCH REPORT. I UNDERSTAND AND AGREE THAT NOTHING IN THIS APPLICATION, OR CONVEYED VERBALLY, IS INTENDED TO CREATE AN EMPLOYMENT CONTRACT. I FURTHER UNDERSTAND AND AGREE THAT IF I AM HIRED, MY EMPLOYMENT WILL BE “AT-WILL” AND MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE, AT THE OPTION OF EITHER JGF OR MYSELF. I UNDERSTAND THAT SUBMITTING AN APPLICATION DOES NOT GUARANTEE EMPLOYMENT OF ANY KIND.
*
I AFFIRM THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS TRUTHFUL AND ACCURATE, TO THE BEST OF MY ABILITY.
IN SUBMITTING THIS APPLICATION, I UNDERSTAND THAT ANY EMPLOYMENT IS CONDITIONAL ON A BACKGROUND CHECK AND THAT AN INVESTIGATIVE CONSUMER REPORT, IN ACCORDANCE WITH APPLICABLE LAW, MAY BE MADE WHEREBY INFORMATION MAY BE OBTAINED REGARDING MY CHARACTER, PREVIOUS EMPLOYMENT, EDUCATIONAL BACKGROUND AND CRIMINAL HISTORY. I AUTHORIZE ANYONE POSSESSING THIS INFORMATION TO FURNISH IT TO JONES-GORDON FOUNDATION / THE JONES-GORDON SCHOOL / ON-TRACK TUTORING (JGF), UPON REQUEST AND I RELEASE JGF FROM ALL LIABILITY AND DAMAGES WHATSOEVER IN FURNISHING, OBTAINING, OR USING SAID INFORMATION. I UNDERSTAND THAT UPON WRITTEN REQUEST WITHIN A REASONABLE PERIOD OF TIME, I CAN OBTAIN FROM JGF WRITTEN DISCLOSURE OF THE NATURE AND SCOPE OF ANY SUCH REPORT.
I UNDERSTAND AND AGREE THAT NOTHING IN THIS APPLICATION, OR CONVEYED VERBALLY, IS INTENDED TO CREATE AN EMPLOYMENT CONTRACT. I FURTHER UNDERSTAND AND AGREE THAT IF I AM HIRED, MY EMPLOYMENT WILL BE “AT-WILL” AND MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE, AT THE OPTION OF EITHER JGF OR MYSELF.
I UNDERSTAND THAT SUBMITTING AN APPLICATION DOES NOT GUARANTEE EMPLOYMENT OF ANY KIND.
I understand and agree.
Digital Signature of Applicant:
*
Date Signed:
*
MM slash DD slash YYYY
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