Employment Application

Employment Application

Position

Position for which you are applying: 

 I am a current employee requesting consideration for transfer

Location of the position for which you are applying - select all that apply using CTRL + click:

Where did you hear about this position - select all that apply using CTRL + click:

 

Personal information

First name: 
Middle name: 
Last name: 

Previous name: 
Alternate name: 

Primary phone number: 
Secondary phone number: 
Email address: 
Secondary email address: 

Home address
Street: 
City:  State:  Zip: 
Mailing address (if different):
Street: 
City:  State:  Zip: 

 

Education

Name of high school: 
High school city & state: 
Graduated with: 

Name of college: 
College city & state: 
Degree: 
Type of degree earned: 

Major 1: 
Major 2: 
Major 3: 
Minor 1: 
Minor 2: 
Minor 3: 

Name of college: 
College city & state: 
Degree: 
Type of degree earned:

Major 1: 
Major 2: 
Major 3: 
Minor 1: 
Minor 2: 
Minor 3: 

List professional society memberships/activities (board positions, speaking engagements, etc.):

List all published works (include a brief description of each):

List all technology skills (software, online tools, multimedia tools, etc.):

List all extracurricular or coaching skills (tutoring, clubs, teams, etc.):

List all pertinent qualifications not in above:

Area of concentration: 
Grade level(s): 
Certificate/License number: 
Issue date: 
Expiry date: 
Issuing state: 
Licence pending? (yes/no): 
Total number of completed years of experience in this position: 

 

High Quality Professional Development

Which option best represents how you are highly qualified? Select one: 

 

Teaching and employment experience

Have you previously worked for Constellation Schools?
Yes   If yes, when: 
No

Employer: 
Position held: 
City & state: 
Phone number: 
Supervisor: 
From date to date: 
Description of duties (detailed; include grade and subject taught, if applicable):

Starting salary: 
Ending salary: 
Reason for leaving or currently in this position:

May we contact this employer?
Yes
No

Employer: 
Position held: 
City & state: 
Phone number: 
Supervisor: 
From date to date: 
Description of duties (detailed; include grade and subject taught, if applicable):

Starting salary: 
Ending salary: 
Reason for leaving or currently in this position:

May we contact this employer?
Yes
No

Employer: 
Position held: 
City & state: 
Phone number: 
Supervisor: 
From date to date: 
Description of duties (detailed; include grade and subject taught, if applicable):

Starting salary: 
Ending salary: 
Reason for leaving:

May we contact this employer?
Yes
No

Military experience (list & describe if applicable):
 
Do you have any misdemeanor charges? (yes/no): 
Details (if applicable: ever been convicted of, found guilty of or pled guilty to any misdemeanor other than traffic offenses?):

Do you have any felony charges? (yes/no): 
Details (if applicable: ever been convicted of, found guilty of or pled guilty to any felony?):

Have you ever had a criminal record sealed or expunged? (yes/no): 
Details (if applicable):

 

I certify the information contained in this application is true, correct, and complete.  I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal.

Type name as signature/agreement to the above statement:  

Date: 



Security Measure