Application for Employment
East Wake Academy
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  • Education Information

  • Equal Oppurtunity Information

    East Wake Academy policy prohibits discrimination based on race, sex, color, creed, national origin, age or disability. The information below will in no way affect you as an applicant.
  • DISABILITY:

    "Disability means, with respect to an individual: (1) a physical or mental impairment that substantially limits one or more of the major life activities of such individual; (2) a record of such an impairment; or (3) being regarded as having such an impairment" (Americans with Disabilities Act of 1990). Persons without a disability should check item A.
    The reporting of a disability is strictly VOLUNTARY. Persons with disabilities who DO NOT WISH to report their disabilities should check item A. Information reported on this form will be kept confidential as required by State law. Public disclosure of this information without your consent would be a violation of G.S.
  • If M. Other, please explain
  • Work History

    Current or Last Employer:
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  • Previous Employer

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  • Previous Employer

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  • Previous Employer

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  • Briefly state what you think makes you qualified to the job for which you are applying:

  • References

    List 2 References other than your former supervisors or family:
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  • I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions, associations, registration, and licensing boards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigation of all statements made in the application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.)

  • Optional
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