Employment application

TERRACE COMMUNITY SCHOOL

A Public Charter School of Choice

4801 E. Fowler Avenue

Tampa, Florida 33617

813.987-6555

www.tcstornadoes.com

APPLICATION FOR EMPLOYMENT

Please read the following instructions carefully before completing the application:

It is important that you answer all items on this application. Please take time to list pertinent information carefully and completely. Failure to do so may prevent consideration for a position for which you are qualified. It is your responsibility to inform of us of all education and experience related to the job for which you are applying. Make sure you have also completed information on your references. Informing management about where to locate references is the responsibility of the applicant. If additional space is needed, you may continue in the same format on a blank sheet of paper.

All information provided by the applicant on this form is subject to verification and, by submitting an application, the applicant authorizes the school to review the information provided. Inability on our part to confirm statements made by you may prevent consideration for employment.

We take affirmative action to comply with all applicable laws of local, state and federal governments regarding employment practices which prohibit discrimination in employment based on religion, color, sex, age, national origin, disability or other characteristics prohibited by law.

PERSONAL INFORMATION:

Name:________________________________________________ Date:__________________________

Address:______________________________________________________________________________

Social Security Number:______________________________ Home Phone:_______________________

Employment desired:

Position______________________________________________________________________________

Please check one: ______Full Time ______ Part Time

Date available for work:_________________________________________________________________

EDUCATION

High School:____________________________________________________________________________

Last School Attended City State

Colleges and Universities

NAME OF SCHOOL	YEARS ATTENDED	MAJOR FIELD	HOURS OF CREDIT	DEGREE	DATE DEGREE RECEIVED

Certifications (must be completed in detail)

CREDENTIALS	AREA OF STUDY	HOURS OF CREDIT	EMPHASIS	DATE RECEIVED

Please list all courses, volunteer work, hobbies or interests that would relate to the position desired (CPR Certification, First Aid, etc.):

______________________________________________________________________________________

Please list any professional organizations in which you are active:

______________________________________________________________________________________

EMPLOYMENT HISTORY (List last three employers, starting with the most recent)

Are you currently employed? _________ Yes __________ No

If so, may I contact your present employer? __________ Yes __________ No

Employer

Position

Address

Supervisor

Phone

How Long

Reason for leaving

Employer

Position

Address

Supervisor

Phone

How Long

Reason for leaving

Employer

Position

Address

Supervisor

Phone

How Long

Reason for leaving

REFERENCES (List three references. Use separate sheets if necessary. Use separate sheets if necessary)

NAME AND TITLE	ADDRESS	PHONE NUMBER	TIME KNOWN

GENERAL INFORMATION

Have you ever been convicted of, or plead guilty or no contest to a felony? ______ Yes ______ No

(if you have, please provide details on a separate sheet of paper).

Are any of your relatives employed by Terrace Community School? ______ Yes ______ No

Are you 18 years old or older? ______ Yes ______ No

Are you eligible for employment in the U.S.? ______ Yes ______ No

If applicable, please specify the type of visa that you hold, if required

______________________________________________________________________________________

In the space provided below, please write a short essay on your pedagogy for preparing middle school students for our 21^st century:

______________________________________________________________________________________

More information on the following page

It is understood and agreed that any misrepresentations or deliberate omissions by me in this application will be sufficient cause for separation from Terrace Community School, give them the right to investigate all references and to secure additional job-related information about me.

If I receive an offer of employment, I must be fingerprinted by the Hillsborough County Board in order to become an employee of Terrace Community School.

Applicant’s Signature:__________________________________________________________________

Date:________________________________________________________________________________

Terrace Community School is an equal opportunity employer.