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You are hereEmployment Application for Mohave Accelerated Schools

Employment Application for Mohave Accelerated Schools

Application Form

Application Date::

E-mail Address:

Your e-mail address

Last Name:

Last name, or family name

First Name:

First name, or given name

Middle Name:

Middle name

Current Address:

Permanent Address:

(if different than current address)

Position for which you are applying:

Grade level and/or subject preference:

Languages you read, write, or speak:

(Other than English)

Arizona Credential:

Include Emergency and Substitute

Expiration date for above credential:

Arizona Credential:

Include Emergency and Substitute

Expiration date for above credential:

Semester units earned beyond B.A. degree:

Education - college:

Teaching Experience - most recent:

If possible, cover 10 years. Include and identify student teaching experience.

Teaching Experience:

If possible, cover 10 years. Include and identify student teaching experience.

Teaching Experience - least recent:

If possible, cover 10 years. Include and identify student teaching experience.

Are you currently under contract?:

Yes

No

If yes, please answer the next two questions.

When does your contract expire?:

May we contact your current employer?:

Yes

No

Work Experience - Other than Teaching:

Include military service, if applicable

Work Experience - Other than Teaching:

Include military service, if applicable

Work Experience - Other than Teaching:

Include military service, if applicable

Education-related honors and experiences:

Include awards, volunteer experience, travel experience, etc.

Reference (other than relatives):

Have you ever been arrested?:

Yes

No

Please do not include minor traffic violations. If Yes, please explain below.

Do you have any physical condition which may limit your ability to perform the job for which you have applied?:

Yes

No

Please explain below.

Have your credentials ever been suspended or revoked?:

Yes

No

Please explain below.

Have you ever been dismissed, or asked to resign from any teaching position?:

Yes

No

Please explain below.

Have you ever been employed in any capacity by Mohave Accelerated Schools?:

Yes

No

Please explain below.

If you have answered Yes to any of the five questions above, please provide a statement explaining the circumstances:

If hired, you will be required to furnish information on: age, clearance by the Department of Justice, clearance of all communicable disease, citizenship status, and if applicable, your right to work in this country.

I certify that all statements made herein are true and correct to the best of my knowledge. I understand that any false statements made on this application may be cause for non-employment, or for dismissal if hired.

I hereby authorize any investigation to obtain information required by this application.

Please complete your application, and acknowledge your acceptance of the conditions above, by entering your full name and today's date in the box below.:

Contact

625 Marina Blvd.
Bullhead City, AZ 86442
(928) 704-9345
(928) 704-4977 fax
info@mohavelearning.org

Employment Application for Mohave Accelerated Schools

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