Charlotte Lab School - 2018-2019 Application for Employment
GENERAL INFORMATION
First Name *
Last Name *
Middle / Maiden Name
Address (Street, Apt #, City, State, Zip Code) *
Mobile Phone *
Home Phone
Email *
Position(s) For Which You Are Applying *
Required
Please specify your particular interest in grade level, subject or specialty if applicable.
LICENSURE
(To Be Completed by Applicants Applying for an Instructional Position)
Do you currently hold a North Carolina Professional Teaching License?
If yes, please list Licensed Areas / Subjects.
Date Issued
Expiration Date
ADDITIONAL INFORMATION
1. Have you ever been convicted of or pled guilty or no contest to a crime (misdemeanor or felony), other than a minor traffic offense? (Answer YES to any traffic offense that involves drugs or alcohol). *
2. Do you have criminal charges or proceedings pending? *
3. Have you ever been suspended, dismissed, non-renewed, fired, or discharged from a position of employment? *
4. Have you ever had a teaching license suspended or revoked? *
5. Have you ever been asked to resign from a position of employment? *
If you answered Yes to any of questions #1-5 in this section, please explain the circumstances.
6. Are you a citizen of the United States? *
7. If you are not a citizen, do you possess a current alien registration card or Visa?
Type / Expiration Date
ABOUT YOU
How did you learn about Charlotte Lab School? *
Why do you feel that Charlotte Lab School is a good fit for you professionally? *
What expertise can you offer the Charlotte Lab School community? *
NOTICE TO ALL APPLICANTS
Charlotte Lab School requires a background check and fingerprinting of all applicants prior to employment. We also reserve the right to require pre-employment drug and/or alcohol testing. Any failure to comply with, complete or meet such requirements may result in the denial or termination of employment.

By completing the information below, you are indicating that you understand that a background check may be requested at will by Charlotte Lab School. The report may contain information about your character, general reputation, education, current and former employment, traffic records, credit, bankruptcy proceedings, criminal records, etc. from federal, state and other agencies that maintain such records. The information requested will be used in compliance with the Fair Credit Reporting Act and/or other applicable federal or state laws.

I authorize any party, institution, school, employer or agency contacted by Charlotte Lab School, or its authorized representatives, to furnish the above‐described information. I release from liability the agents, employers, and all persons providing information based on the data I have provided. I hereby authorize procurement of the background check by Charlotte Lab School.

If you agree, fill in your complete legal name here. *
ATTESTATION
I have read this application carefully and I certify that all information contained in this application and any subsequent attachments are true and complete to the best of my knowledge. I authorize Charlotte Lab School to make an investigation and inquiries of my prior employment history, my qualifications and abilities, my statements in this application, and any other related matters in arriving at an employment decision. I hereby authorize my previous employers to provide all information that they may have concerning my past employment.

I acknowledge that no provision or portion of this Application for Employment constitutes an implied or expressed contract, guarantee or assurance of employment, or any right to an employment‐related benefit or procedure.  I understand that any omission of fact, or false or misleading information, given in this application, in any subsequent attachment or in my interview(s) may result in the denial of my employment, the withdrawal of my conditional offer of employment, or in my suspension or discharge, as applicable.

If you agree, fill in your complete legal name here. *
NON-DISCRIMINATION POLICY
Charlotte Lab School is an equal opportunity employer that seeks to have the best qualified person for every job. Charlotte Lab School is committed to complying with all applicable laws providing equal employment opportunities to all individuals. Charlotte Lab School does not discriminate against any person on the basis of race, color, gender, age, national or ethnic origin, sexual orientation, religion, or disability in any of its educational or employment programs or activities.
Please attach your cover letter, resume and list of references *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Charlotte Lab School. - Terms of Service - Additional Terms