EmailMe Form - MARTHA'S VINEYARD ADULT LEARNING PROGRAM

EmailMeForm

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: *
ESOL Instructor
Community Planner
Technology Coordinator
Office Support
ADA Coordinator
Name *
Email *
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone *
### - ### - ####
Cell/Alternate Phone
### - ### - ####
AVAILABILITY:
When can you begin work?
MM / DD / YYYY
PROFESSIONAL AFFILIATIONS:
List any organizations to which you belong or are associated
PROFESSIONAL DEVELOPMENT:
List any committees, workshop presentation, panel speaking, submissions, etc
NARRATIVE QUESTIONS:
Describe any experiences you have had with other languages and cultures
Instructor Applicants:
Describe your method(s) and approach(es) to teaching English as a Second Language to Adults
Describe why you think you will be successful in this job:
PROFESSIONAL REFERENCES
Please provide the information for 3 people we can contact
Name
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
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."
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 *

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PROFESSIONAL REFERENCES