Employment Application

After completing this form, please email your current resume to [email protected] if you haven’t already done so.
Note: Your application will not be considered complete until both your resume and this application have been submitted.

Full Name*

First Name Last Name

SSN

Address*

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

Contact Phone Number*

Area Code Phone Number

Secondary Phone Number If Applicable

Area Code Phone Number

E-mail*

Position Applying For*

How did you hear about the position?

Date Available*

Month Day Year

Expected Salary or Hourly Rate*

What type of position are you interested in?*

Full TimePart-TimeSub

If you chose Part-Time, which of the following interests you?

2-3 days a week1/2 days

Are you entitled to work in the United States?*

YesNo

Are you 18 or older?*

YesNo

If Yes, Date of Birth*

Have you been convicted of a felony or been incarcerated in connection with a felony in the past seven years?*

YesNo

If Yes, please explain

Military Service?*

YesNo

Branch*

Are you a smoker?*

YesNo

Employer 1: Company Name*

Employer 1: Supervisor Name*

Supervisor 1:E-mail*

Employer 1: Position/Job Title*

Employer 1: Reason for Leaving

Employer 1: Pay*

Employer 1: Dates of Employment*

Employer 1: Address*

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

Employer 1: Phone Number*

Area Code Phone Number

Employer 1: May We Contact*

YesNo

Employer 2: Company Name*

Employer 2: Supervisor Name*

Supervisor 2:E-mail*

Employer 2: Position/Job Title*

Employer 2: Reason for Leaving

Employer 2: Pay*

Employer 2: Start Date*

Month Day Year

Employer 2: End Date*

Month Day Year

Employer 2: Address*

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

Employer 2: Phone Number*

Area Code Phone Number

Employer 2: May We Contact*

YesNo

Employer 3: Company Name*

Employer 3: Supervisor Name*

Supervisor 3:E-mail*

Employer 3: Position/Job Title*

Employer 3: Reason for Leaving

Employer 3: Pay*

Employer 3: Start Date*

Month Day Year

Employer 3: End Date*

Month Day Year

Employer 3: Address*

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

Employer 3: Phone Number*

Area Code Phone Number

Employer 3: May We Contact*

YesNo

High School* School Name, Location, Grade Completed

College/University* School Name, Location, Years Completed

Did you graduate?*

YesNo

Type of Degree Earned*

Trade School/Other School Name, Location, Degree/Diploma

List any applicable special skills, training or proficiencies.*

List all areas in which you hold valid FL and/Or out-of-state teaching certificates.

Reference 1: Name*

First Name Last Name

Reference 1: Relation*

Reference 1: E-mail*

Reference 1: Phone Number*

Area Code Phone Number

May We Contact Reference 1?*

YesNo

Reference 2: Name*

First Name Last Name

Reference 2: Relation*

Reference 2: E-mail*

Reference 2: Phone Number*

Area Code Phone Number

May We Contact Reference 2?*

YesNo

Reference 3: Name*

First Name Last Name

Reference 3: Relation*

Reference 3: E-mail*

Reference 3: Phone Number*

Area Code Phone Number

May We Contact Reference 3?*

YesNo

Reminder that this application is NOT complete until a resume is submitted to [email protected]. After submitting this application, please immediately email your resume.

Were you ever convicted of a criminal offense?*

YesNo

Are you currently under charges for a criminal offense?*

YesNo

Have you ever forfeited bond or collateral in connection with a criminal offense?*

YesNo

Within the last ten years, have you quit a job after being notified that you would be fired?*

YesNo

Within the last ten years, have you been fired from any job for any reason?*

YesNo

Have you ever been professionally disciplined in any state?*

YesNo

Professional disciplined means the annulment, revocation or suspension of your teaching certification or having received a letter of reprimand from an agency, board or commission of state government.

Are you subject to any visa or immigration status, which would prevent lawful employment? *

YesNo

Have you ever had your license suspended?*

YesNo

Note: if you answered "Yes" to any of the above questions, please email a detailed explanation to [email protected] including dates.

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any misrepresentation, falsification, or omission may result in the rejection of my application or, if hired, dismissal from employment.

I authorize the school to investigate all statements contained in this application. I give my full consent for the school to contact my current and former employers, references, and other relevant individuals or institutions to obtain information regarding my qualifications, work history, and character. I release all parties from liability for any damage that may result from furnishing or receiving such information.

I understand that, as part of the hiring process, I may be required to undergo background screening, including fingerprinting, criminal history checks, and reference verification, in accordance with state laws and school policies. I understand that employment is contingent upon the satisfactory completion of these checks and that the safety and well-being of the students is the school’s top priority.

If hired, I agree to comply with all school policies, procedures, and code of conduct expectations, including those related to student safety, professional ethics, and confidentiality.

I understand that employment at this private school is at-will, meaning it may be terminated at any time by either the school or myself, with or without cause or advance notice. I acknowledge that no representative of the school has made any oral or written promises contrary to this at-will relationship.

I further understand that, if offered employment, I must provide appropriate documentation verifying my identity and legal authorization to work in the United States in compliance with federal law.

By digitally signing and submitting this application, I acknowledge that I have read, understood, and agree to the above statements.

Full Name*

First Name Last Name

EHA Employment Application

After completing this form, please email your current resume to [email protected] if you haven’t already done so.
Note: Your application will not be considered complete until both your resume and this application have been submitted.

Personal Information

Prior Work History

Employer 1

Employer 2

Employer 3

Education

References

General Background Information

Criminal Offense

Conviction

EHA Employment Application

After completing this form, please email your current resume to [email protected] if you haven’t already done so. Note: Your application will not be considered complete until both your resume and this application have been submitted.

Personal Information

Prior Work History

Employer 1

Employer 2

Employer 3

Education

References

General Background Information

Criminal Offense

Conviction

After completing this form, please email your current resume to [email protected] if you haven’t already done so.
Note: Your application will not be considered complete until both your resume and this application have been submitted.