Employment Application 2018-04-17T12:12:37+00:00

Employment Application

  • Application for Employment

    (Check all that apply)
    (Check all that apply)
    (Proof of identity & eligibility required upon employment.)
  • If you were referred to us, please provide the following:
  • Areas of Interest

    (Check all that apply)
  • Educational Background

  • (Provide Major/Minor)
  • (Do not provide year)

  • (Provide Major/Minor)
  • (Do not provide year)

  • (Provide Major/Minor)
  • (Do not provide year)

  • (Provide Major/Minor)
  • (Do not provide year)
  • Certifications, Endorsements, and Licenses

    Verification will be completed based on the information provided.
    (required IVP, if issued after 12/31/2007)
  • (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”).
  • One

  • (If teaching position, list grades and subjects taught)
  • Two

  • (If teaching position, list grades and subjects taught)
  • Three

  • (If teaching position, list grades and subjects taught)
  • Four

  • (If teaching position, list grades and subjects taught)

  • Driving Record

    Complete for driving positions only. Please be aware that teachers may be required to drive for school purposes.
  • Criminal Record

  • *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.)
  • Educational Philosophy

    Use additional pages if necessary.
  • Applicant's Authorization and Agreement

  • I AUTHORIZE 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 ON-TRACK ACADEMY/ON-TRACK TUTORING & FAMILY SUPPORT SERVICES, INC. (OTTA), UPON REQUEST AND I RELEASE OTTA 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 OTTA 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 OTTA OR MYSELF.

  • Submitting an application does not guarantee employment of any kind.