EmailMe Form - MARTHA'S VINEYARD ADULT LEARNING PROGRAM

No person shall be excluded or discriminated against on the basis of race, color, religion, sex, age, national origin, sexual orientation

(check all that apply)
Position(s) Applied For: *

Name *

Email *

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Home Phone *

### - ### - ####

Cell/Alternate Phone

### - ### - ####

AVAILABILITY:
When can you begin work?

MM / DD / YYYY

PROFESSIONAL AFFILIATIONS:

PROFESSIONAL DEVELOPMENT:

Instructor Applicants:

Describe why you think you will be successful in this job:

NARRATIVE QUESTIONS:
Describe any experiences you have had with other languages and cultures

PROFESSIONAL REFERENCES

Please provide the information for 3 people we can contact

Name

Job Title/Affiliation

Phone

### - ### - #### Ext. ###

Email

Name

Job Title/Affiliation

Phone

### - ### - #### Ext. ###

Email

Name

Job Title/Affiliation

Phone

### - ### - #### Ext. ###

Email

Have you ever been convicted of a crime other than a traffic violation?

Yes

No

If YES, please explain:

"I authorize present and former employers, and individuals I have listed as personal references, to furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information."

Are you a citizen of the United States?

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

May we contact your place of current employment?

Yes

No

Additionally, all applicants may be subject to a background check (CORI) to investigate criminal activity.

Upload your resume

MVALP is part of the Martha's Vineyard Public School System. It is funded by Adult and Community Learning Services (ACLS) at the Massachusetts Department of Elementary and Secondary Education.

You may access the ACLS webpage at http://www.doe.mass.edu/acls; and/or may view the Massachusetts Adult ESOL Curriculum Framework at http://www.doe.mass.edu/acls/frameworks