Christopher Academy Employment Application

Name *
First, Middle, Last
Your answer
Position(s) Applied For *
Your answer
Section 1: Personal Information
Address *
Street Address
Your answer
Address Line 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email *
Your answer
Phone *
Your answer
Section 2: Education
Education - School Name *
Your answer
School Address *
Your answer
School Address - Line 2
Your answer
City, State, Zip *
Your answer
Course of Study *
Your answer
Years Completed *
Your answer
Diploma/Degree *
Your answer
List Any Advanced Degrees and Institutions Attended
Your answer
Section 3: Work Experience
Begin with your most recent job.
Employer
Your answer
Address
Your answer
Employer's Phone
Your answer
Employed From
MM
/
DD
/
YYYY
Employed To
MM
/
DD
/
YYYY
Type(s) of Duties Performed
Your answer
Supervisor's Name
Your answer
Reason for Leaving
Your answer
Employer (2)
Your answer
Address
Your answer
Employer's Phone
Your answer
Employed From
MM
/
DD
/
YYYY
Employed To
MM
/
DD
/
YYYY
Type(s) of Duties Performed
Your answer
Supervisor's Name
Your answer
Reason For Leaving
Your answer
Employer (3)
Your answer
Address
Your answer
Employer's Phone
Your answer
Employed From
MM
/
DD
/
YYYY
Employed To
MM
/
DD
/
YYYY
Type(s) of Duties Performed
Your answer
Supervisor's Name
Your answer
Reason For Leaving
Your answer
Comments
Include explanation of any gaps in employment.
Your answer
Describe Any Specialized Training, Internships, Skills and Volunteer Experiences
Your answer
Section 4: Personal/Professional References
At least three written letters of reference are required. Please do not include family members. Letters may be sent electronically or mailed.

Letters may be sent electronically to:
mterry@christopher-academy.org

Letters may be mailed to:
Christopher Academy
Attn: Mrs. Miriam Terry
3300 Cedar Lane
Portsmouth, VA 23703

Section 5: Applicant's Statement
Applicant's Statement *
Any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. I understand that the School's Termination of Employment Policy governs conditions under which I may resign or the employer may terminate my employment. I understand that no representative of the Employer has the authority to make any assurances to the contrary. I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.
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