EmailMe Form - Application for Employment

Name

First Last

Today's Date

MM / DD / YYYY

Address

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

Phone

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

Email

Position For Which You Are Applying:

Work Classification Requested:

Full-time

Part-time

Temporary

Substitute Teacher

What grade levels and/or subjects are you certified or qualified to teach?

List activities or sports that you are qualified to direct, sponsor, advise or coach (indicate grade or ability levels):

Have you ever worked for Parkview Baptist School?

Yes

No

Have you ever used another name?

Yes

No

If yes, please explain:

If hired, can you furnish proof that you are over 18 years of age?

Yes

No

Are you capable of satisfactorily performing the essential job duties required of the position for which you are applying?

Yes

No

Do you have adequate transportation to and from work?

Yes

No

Have you ever been convicted of any misdemeanor or felony in the last seven years?

Yes

No

If yes, please give the date(s) and detail(s). Note: Answering “Yes” to these questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account. (Do not include minor traffic citations and arrests or convictions which have been sealed or expunged.)

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