Future Leaders Institute Charter School

Employment Application

THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of the company to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination. This application will remain active for 3 years.
Job Posting Select Posting to Apply for: 
Personal Information
First Name * :
Middle Name:
Last Name * :
Home Phone:
Cell Phone:
Email Address * :
Current Address
Street * :
City * :
State * :
Zip Code * :
Prior Address (1)
Street:
City:
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Zip Code:
Prior Address (2)
Street:
City:
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Zip Code:
High School
School:
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Diploma:
Undergrad School
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Diploma:
Deg/Cert/Dip:
Area of Study:
Grad School
School:
City:
State
Diploma:
Deg/Cert/Dip:
Area of Study:
Other School
School:
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Diploma:
Deg/Cert/Dip:
Area of Study:
Employer
May we contact your present employer?
Employer:
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Phone:
Position Held:
From (m/yyyy):
To (m/yyyy):
Duties:
Prior Employer (1)
Employer:
City:
State:
Phone:
Position Held:
From (m/yyyy):
To (m/yyyy):
Duties:
Prior Employer (2)
Employer:
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State:
Phone:
Position Held:
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To (m/yyyy):
Duties:
Prior Employer (3)
Employer:
City:
State:
Phone:
Position Held:
From (m/yyyy):
To (m/yyyy):
Duties:
Reference (1)
Name:
Telephone:
Relationship:
Reference (2)
Name:
Telephone:
Relationship:
Resume (Text Version)
Copy and Paste a text version of your resume here.
Upload File
Attach a file to your application. Only the following file types are accepted. (.doc, .docx, .pdf, or .rtf)
Applicant's Certification Agreement
1. The company and other persons or employers are released from all liability brought forth by any investigation resulting from my submission of this electronic application and the data contained here in.
2. The information in this application is true and complete to the best of my knowledge. Any falsification, misrepresentation, or omission on this application can be cause for denial or termination of employment.
3. If hired, my employment is voluntary, meaning that either party can employment at any time for any reason. Upon acceptance of employment if a position is offered, I agree to abide by all existing and future company rules and regulations. The company reserves the right to change any working agreement as deemed necessary.
4. Any employment offer is contingent open my providing proof of identity and eligibility to work the country of employ.
5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.
6. I understand that by typing my name in the signature box below and submitting this application electronically, this becomes a legal and binding contract.
 
Signature
Type Name in Signature Box * :
Today's Date: 2010-09-05 23:13:09 MST