Columbus Day News

LIVE OAK MONTESSORI SCHOOL Employment Application All applicants will receive consideration without regard to race, color, religion, sex, age, or national origin. Please complete ALL sections. You may attach a resume but ALL sections of this application MUST be completed. Position Desired: __________________________________________ Date: ______________________ Name: ______________________________________________________________________________ Last First Middle Address: _____________________________________________________________________________ Street City State Zip Phone #: ___________________________________________ Cell #: _____________________________ E-mail Address: _______________________________________________________________________ Social Security #: _______________________________________________________________________ (Only if hired) (Required for payroll purposes) Are you a citizen of the United States? Yes No If no, are you authorized to work in the United States? Yes No Have you ever been convicted of a felony? Yes No If yes, please explain: ______________________________________________________________ EDUCATION Name of School City/State Dates Attended Degree Received High School: College: Other: EMPLOYMENT EXPERIENCE Please list your last three (3) employers, starting with the most recent. Employer Name/Address/Phone Job Title/Duties Dates of Employment Reason for Leaving 1. 2. 3. PROFESSIONAL REFERENCES Name Job Title/Company Phone Number 1. 2. 3. Page 1 of 2 SKILLS AND QUALIFICATIONS Please list any other job-related skills, training, or qualifications you possess (e.g., computer skills, languages, certifications, etc.) EMPLOYMENT DESIRED Starting Date Desired: ________________________________________________________________ Salary Desired: ______________________________________________________________________ Type of Employment Desired: Full-Time Part-Time Summer Are you willing to work overtime? Yes No Are you willing to relocate? Yes No Are you willing to travel? Yes No APPLICANT’S STATEMENT I certify that the information contained in this application is correct to the best of my knowledge and I understand that falsification of this application in any detail is grounds for disqualification from consideration or, if employed, dismissal from employment. I authorize Live Oak Montessori School to investigate all statements contained in this application for employment as may be necessary for arriving at an employment decision. I understand that this application is not a contract, offer, or promise of employment. If hired, I understand that I am free to resign at any time, with or without cause or prior notice, and that Live Oak Montessori School reserves the same right to terminate my employment at any time, with or without cause or prior notice, except as may be required by law. I understand and agree that if employed, my employment with Live Oak Montessori School is at-will, which means that it is for no specified period and may be terminated by either myself or Live Oak Montessori School at any time without prior notice or cause. Signature of Applicant: ________________________________________________________________ Date: ______________________________________________________________________________ Page 2 of 2