Apply for MS Language Arts ESE Teacher

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:MS Language Arts ESE Teacher
ID:1283
Department:Instructional
Location:Pasco
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
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* Phone:
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Attachments
* Resume:
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Cover Letter:
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Application for Employment
PERSONAL INFORMATION
* Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment):
Yes   No
* Are you at least 18 years or older? (If no, you may be required to provide authorization to work):
Yes   No
* Have you ever been arrested or charged for a criminal offense other than a minor traffic violation? (DUI is NOT considered a minor traffic violation.):
Yes   No
If Yes, please explain:
* Are you currently on probation or currently under any imposed requirements for charges other than a minor traffic violation?:
Yes   No
If Yes, please explain:
* Is there any criminal charge now pending against you other than a minor traffic violation?:
Yes   No
If Yes, please explain:
* Have you ever worked for Pepin Academies before?:
Yes   No
If Yes, please provide details (Where/When/Job Title):
* Do you have any relatives that currently attend or are employed by Pepin Academies?:
Yes   No
If Yes, please provide details (Name, Campus):
* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:
Yes   No
If no, please explain:

EMPLOYMENT DESIRED
* When would you be available to begin work?:
* Type of employment desired:
Full-Time   Part Time   Seasonal
* Are you currently employed?:
Yes   No
* If so may we inquire of your present employer?:
Yes   No

INSTRUCTIONAL APPLICANTS
* If presently employed, why are you considering leaving?:
* Instructional Applicants must list current areas of certification or indicate their eligibility for Florida certification. Out of state certification may be eligible for Florida certification through reciprocity:
* Has action ever been taken against your certificate by any Education Practices Commission?:
Yes   No
* Have you ever had any professional license/certificate (a driverís license is not a professional license), including a teaching certificate, sanctioned by the issuing agency in this or any state? Sanctioned is defined to include suspension, revocation; discipline, such as issuance of a reprimand or fine; or, otherwise conditioned, such as placed on any restriction or probation.:
Yes   No
* Have you ever resigned, surrendered, or otherwise relinquished a professional license or certificate in this or any state?:
Yes   No
* Is there any action pending in this or any state against a professional license or certificate you hold or held?:
Yes   No
* Is there any action pending in this or any state against an application for a professional license or certificate you have on file? (A determination of academic ineligibility is not considered denial of a license or certificate):
Yes   No
IF YOU ANSWERED YES TO ANY OF THE ABOVE CERTIFICATION QUESTIONS, PLEASE EXPLAIN CIRCUMSTANCES:

EDUCATION
Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location Did you Graduate? Degree Received Subjects Studied/Major
Yes   No
Yes   No
Yes   No

If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying please describe:

EMPLOYMENT HISTORY
Give your full employment record, starting with your current or most recent employment

EMPLOYER 1

Dates Employed Employer Name & Address Employer Phone
From:
*

To:
*

Job Title Supervisor Name & Title May we Contact?
*

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:
*

End:
*

EMPLOYER 2

Dates Employed Employer Name & Address Employer Phone
From:

To:

Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

EMPLOYER 3

Dates Employed Employer Name & Address Employer Phone
From:

To:

Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

REFERENCES Please provide three references (not relatives).

Name Relationship Phone Number Email

APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION
I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by PEPIN ACADEMIES For Educational Excellence (hereinafter referred to as "PEPIN ACADEMIES") that such employment with PEPIN ACADEMIES is at will, for no specified duration and may be terminated by either PEPIN ACADEMIES or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of PEPIN ACADEMIES or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of PEPIN ACADEMIES except the Principal has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the Principal of PEPIN ACADEMIES.

In consideration for employment with PEPIN ACADEMIES if employed, I agree to conform to the rules, regulations, policies and procedures of PEPIN ACADEMIES at all times and understand that such obedience is a condition of employment. I understand that due to the nature of PEPIN ACADEMIES business, attendance and punctuality are considered essential requirements of every job at PEPIN ACADEMIES and that poor attendance or tardiness will result in disciplinary action. I understand that, as this organization deems necessary, I may be required to work overtime hours or hours outside a normally defined workday or workweek. If employed, I understand and agree that such employment may be terminated at any time and without any liability to me for continuation of salary, wages, or employment related benefits.

I understand that if offered a position with PEPIN ACADEMIES, I may be required to submit to a pre-employment medical examination, and background check as a condition of employment. I understand that I will be required to submit to a pre-employment drug screening. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.

I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to PEPIN ACADEMIES and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that this application is considered current for three months. If I wish to be considered for employment after this period, I must fill out and submit a new application.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

* Signature (type name):
* Date:
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
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Race/Ethnicity:
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A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
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A person having origins in any of the Black racial groups of Africa
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A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
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All persons who identify with more than one of the above races
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Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred - a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5,1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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