Application for Employment - Inspired Kids Academy

Job Application Form

Thank you for your interest in Inspired Kids Academy. We consider applicants without regard to sex, race, creed, color, nationality, or ethnic origin.

If you prefer to download a version of this form, please view the Application PDF.

Application for Employment

First Name

Middle Name

Last Name

Date Available to Start:

Address

Address Line 1

City

State

Zip Code

Phone:

Are you eligible to work in the United States?

Yes

Have you ever been employed by Inspired Kids Academy?

Yes

If YES, dates of employment & reason for leaving.

Are you related to any current company employee at Inspired Kids Academy?

Yes

If YES, their name & relationship to you.

If required for position, do you have a valid driver's license?

Yes

If YES, state of issuance, license #, and expiration date.

Are you 18 years of age or older?

Yes

If NO, what is your current age?

Education

High School:

City/State

Did you graduate?

Yes

If NO, # years left to graduate

If YES, date of graduation.

Degree Received & Major

GED:

City/State

Did you graduate?

Yes

If NO, # years left to graduate

If YES, date of graduation.

Degree Received & Major

Other School:

City/State

Did you graduate?

Yes

If NO, # years left to graduate

If YES, date of graduation.

Degree Received & Major

College:

City/State

Did you graduate?

Yes

If NO, # years left to graduate

If YES, date of graduation.

Degree Received & Major

College:

City/State

Did you graduate?

Yes

If NO, # years left to graduate

If YES, date of graduation.

Degree Received & Major

College:

City/State

Did you graduate?

Yes

If NO, # years left to graduate

If YES, date of graduation.

Degree Received & Major

Other credentials/licenses/professional affiliations, military, etc. which are relevant to the job(s) for which you are applying:

Teaching Experience

(Most recent first; Indicate F= Full Time; P=Part Time; S=Substitute)

School Name & Location:

Ages Taught:

F/P/S:

Dates From & To:

Responsibilities:

School Name & Location:

Ages Taught:

F/P/S:

Dates From & To:

Responsibilities:

School Name & Location:

Ages Taught:

F/P/S:

Dates From & To:

Responsibilities:

School Name & Location:

Ages Taught:

F/P/S:

Dates From & To:

Responsibilities:

Number of Years Teaching Experience:

Other Work History

Place of Employment:

Position:

Dates of Employment:

Reason for Leaving:

Place of Employment:

Position:

Dates of Employment:

Reason for Leaving:

Place of Employment:

Position:

Dates of Employment:

Reason for Leaving:

References

Name:

Position:

Address:

Phone:

Name:

Position:

Address:

Phone:

Name:

Position:

Address:

Phone:

Name:

Position:

Address:

Phone:

Security

Recognizing concern for children, Inspired Kids Academy has adopted a policy of screening all applicants for employment. The purpose of this policy is to promote a safe environment and to protect our students. The following questions are designed to elicit the information necessary for this purpose. The information provided will be treated confidentially and will only be used by authorized staff in reviewing your application. All questions must be answered. Please be truthful and candid. If you answer “Yes” to any of the following questions, please explain on a separate page. Your answers to any of these questions do NOT necessarily disqualify you from employment.

1. Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor Traffic Violation?) The term “Convicted” includes entering into a plea agreement including a “no contest” plea, or, a deferred sentence or deferred judgment arrangement in connection with a criminal charge. If so, please attach a statement of explanation, including nature of offense, date, and court where conviction was entered, sentence of disposition and any other relevant information.

Yes

2. Have you ever been the subject of an investigation of an allegation of physical abuse, sexual misconduct, sexual harassment or an offense relating to children, criminally charged, or been the subject of a civil lawsuit involving physical abuse, sexual misconduct, sexual harassment or an offense relating to children?

Yes

3. Have you ever been subjected to discipline or dismissed from employment or volunteer service by any church, or other organization as the result of an allegation or charge of physical abuse, sexual harassment or an offense relating to children?

Yes

Applicants Authorization

I understand that as signing this completed Application I am consenting and authorizing Inspired Kids Academy, to conduct a background investigation of me and the information provided in this application. I further acknowledge and understand that this investigation may include a Criminal Background Check and a Sex Offender Background Check and that I may be required to provide fingerprints and a photograph for this purpose.

Release

In consideration of the receipt and evaluation of this Application by Inspired Kids Academy, I hereby release Inspired Kids Academy and any individual, school, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability or damages of whatever kind or nature which may at any time result from the investigation of my background or the release of information in connection with any investigation. This release shall be binding. I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEROF, AND I GIVE THIS RELEASE AS MY OWN FREE ACT.

Applicants Certification:

I certify that the information contained in this application and any attachment is true and correct to the best of my knowledge. I understand that any misrepresentation or material omission may result in my failure to receive an offer of employment or, if I am hired, in my dismissal.

Applicant's Signature

Date / Time

Inspired Kids Academy does not discriminate on the basis of sex, color, race, creed, nationality or ethnic origin.