APPLICATION FOR EMPLOYMENT
Roberto Clemente Charter School is an equal-opportunity employer. Roberto Clemente Charter School does  not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry,  age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military  status, or unfavorable discharge from military service or any other characteristic protected by law.
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PERSONAL INFORMATION
Incomplete information could disqualify you from further consideration. Please complete all fields.
Full Name (First, Last) *
Address (PO Box, Street, City, State, etc.) *
E-mail *
Phone Number  *
Are you eligible to work in the U.S?
 *
Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)
 *
Have you ever been terminated from employment or asked to resign by an employer?
 *
If Yes, please provide company name and details
Can you work any shift?
*
If No, explain:
Can you work overtime, including weekends?
 *
Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation?
 *
EMPLOYMENT DESIRED
Estimated Date you can start
 *
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Hourly rate/Salary desired
 *
Position desired
 *
Are you currently employed?
 *
If so may we inquire of your present employer?
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REFERRAL SOURCE
How did you hear about us?
 *
Have you ever worked for this school before? *
If Yes, explain: 
Do you know anyone who works for our school?
 *
If yes, who?
EDUCATION
High School/GED (Provide name, location and year of completion)
College/University  (Provide name, location, highest degree awarded and year of completion)
Trade, Business or  Correspondence School (Provide name, location, highest degree awarded and year of completion)
EMPLOYMENT HISTORY
Include periods of unemployment, starting with the most recent and working  backwards in time. Incomplete information could disqualify you from further consideration.
Employer Name *
Employer Address *
From *
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To
If current employer, leave blank
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Job Title *
Immediate Supervisor *
Summarize the nature of the work performed and job responsibilities *
Reason for Leaving *
Employer Name *
Employer Address *
From *
MM
/
DD
/
YYYY
To
If current employer, leave blank
MM
/
DD
/
YYYY
Job Title *
Immediate Supervisor *
Summarize the nature of the work performed and job responsibilities *
Reason for Leaving *
Employer Name *
Employer Address *
From *
MM
/
DD
/
YYYY
To
If current employer, leave blank
MM
/
DD
/
YYYY
Job Title *
Immediate Supervisor *
Summarize the nature of the work performed and job responsibilities *
Reason for Leaving *
Do you have any special skills, experience and/or training that would enhance your ability to perform the  position applied for? If yes, explain.
REFERENCES
Give the names of three persons not related to you, whom you have known at least three (3) years.
Name *
Contact information *
Years Acquainted *
Name *
Contact information *
Years Acquainted *
Name *
Contact information *
Years Acquainted *
Your availability for an interview:  *
Please read carefully before submitting.

I understand that neither the completion of this application nor any other part of my consideration for  employment establishes any obligation for Roberto Clemente Charter School to hire me. I understand that no  representative of Roberto Clemente Charter School has the authority to make any assurance to the contrary. 

I attest that I have given to Roberto Clemente Charter School true and complete information on this application. No requested information has been concealed. I authorize Roberto Clemente Charter School to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. 

THIS APPLICATION IS VALID ONLY FOR 90 DAYS FROM THE DATE SUBMITTED
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