Employment

Employee Application

Instructions

• Instructions Please ensure that your application indicates the specific position you are applying for, and that your work history is well detailed. This will help us fully evaluate your application for positions that we have available.

 

Personal Information

• Last Name
• First Name and Middle Name
• Today's Date
• Home Phone
• Cell Phone
• Email Address
• Physical Address
  Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\’IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountry
• Mailing Address
  Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\’IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountry
• Desired Position Which position are you applying for? If the position is instructional, for which grades are you applying to teach?

Education

• High School
• High School Graduation Date
• High School GPA
• College/University
• College/Univ Graduation Date
• Major/Minor
• Degree
• College/Univ GPA
• Additional School
• Graduation Date
• Major/Minor
• Degree
• GPA
• Additional School
• Graduation Date
• Major/Minor
• Degree
• GPA

References

• Instructions Please provide information for three professional references. References from schools or the field of education are preferred.
• Reference #1 Name
• Reference #1 Phone
• Reference #1 Email
• Reference #2 Name
• Reference #2 Phone
• Reference #2 Email
• Reference #3 Name
• Reference #3 Phone
• Reference #3 Email

Employment History

• Instructions Please list most recent positions first. No résumé substitutions. We typically call all past employers (even those included on résumé) for a reference. Please indicate in this section if the most recent past employers can be contacted. Please let us know in the additional comments section at the end if other past employers on your résumé should not be contacted.
• Employer Name
• Dates of Employment
• Location
• Position
• Duties
• Supervisor
• Supervisor Phone
• May we contact this employer?
  YesNo
• Reason for Leaving
• Employer #2 Name
• Dates of Employment
• Location
• Position
• Duties
• Supervisor
• Supervisor Phone
• May we contact this employer?
  YesNo
• Reason for Leaving
• Employer #3 Name
• Dates of Employment
• Location
• Position
• Duties
• Supervisor
• Supervisor Phone
• May we contact this employer?
  YesNo
• Reason for Leaving

Certification

• Type of Certification #1
• State that issued Certification
• Areas of Certification
• Valid Until
• Type of Certification #2
• State that issued Certification
• Areas of Certification
• Valid Until

Additional Credentials and Honors

• List any additional credential or honors relevant to the position you are applying for.

Emergency Contact

• Name
• Phone
• Address
  Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\’IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountry
• Relationship

Application Questions

• Are you legally entitled to work in the United States?
  YesNo
• Are you retired from a Florida State Administered Retirement Plan?
  YesNo
• Are you presently under contract to another school system?
  YesNo
• If YES, which system?
• If you do not have a Florida Teacher Certification, have you applied for one?
  YesNo
• If YES, date applied?
• Subject/Area(s) of Certification
• Have you ever been convicted, found guilty, had adjudication withheld, entered a pretrial diversion program, or entered a plea of guilty or no contest to a criminal offense other than a minor traffic violation (DUI is NOT a minor traffic violation); or are there any criminal charges now pending against you other than minor traffic violations? Failure to answer this question accurately could cause denial or termination of employment.YesNo
• If YES, explain.

Additional Comments

• Current Resume *
• Instructions I certify that all the information given on this application is true and complete. I understand the requirements and agree to comply with the requirements of the State of Florida, including the signing of a loyalty oath as may be required by the provisions of Florida statutes and of the School Board. I hereby authorize my
former employers to give any information regarding my employment with them and, in addition, to furnish any other information they may have concerning me. I understand that I will be fingerprinted as a matter of protection and identification and hereby authorize the release of all information and criminal history from any and all law enforcement agencies even where protected under privacy laws. I understand that any misrepresentation or omission of any information will result in my disqualification from consideration for employment or, if employed, my dismissal. I understand this application is not a contract, offer or promise of employment. I further understand that no one other than the Board of Directors of Boulware Springs Charter School, Inc. has the authority to enter into an employment contract agreement with me. I have read understand and agree to this statement.

 

Verification

• Please enter any two digits *Example: 12
• This box is for spam protection – please leave it blank: