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Please print or type all information
Date of application
________________________________
PERSONAL
INFORMATION
Name
__________________________________________________________________________
Address
________________________________________________________________________
Phone __________________________________
Email __________________________________
Social Security Number (optional)
___________________________________
EMPLOYEE
POSITION DESIRED
(Teachers must be 18 years or older)
Regular Paid Position _____
Work-Study Student _____
Student Intern Volunteer _____
Substitute _____
Other ____________________
Please indicate days/hours when you
would be available:
Mon. Tues. Wed. Thurs. Fri.
_____ A.M. _______P.M.
If you are selected for any of the
positions indicated above, could you commit to work for:
_____ Academic year (Sept.-June)
_____Summer Session (7-9 weeks)
_____ Year-round
What prompted you to apply at Redbud Montessori School?
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Referred
Employee Referral
When could you report for work?
_____________________________________________________
Minimum acceptable wage ___________________________
EDUCATION/PROFESSIONAL
QUALIFICATIONS
Name and Address of: High School
_____________________________________________________________________
Do you have a high school diploma or
GED? no yes
Name and Address of: College(s) _______________________________________________________________________
Years Attended _________________ Date
Graduated (or date expected) ___________________
Undergraduate Major
______________________ Degree (or units completed if no degree) ______
Name and Address of: Graduate School(s)
_______________________________________________________________
Years Attended _________________ Date
Graduated (or date expected) ____________________
Graduate Major ______________________
Degree (or units completed if no degree) ______
Name and Address of: Montessori
Education Training School(s)
_______________________________________________ Years Attended
_________________
Date Graduated (or date expected)
____________________ Affiliation ___________ Certification (or
units completed if not certified) ______
Are you planning to further your
education? no yes When?_____________________________
Please list below any course work taken
or currently enrolled in which you feel is especially relevant to the
position for which you are applying. Include courses in child development,
in specific curriculum areas (e.g., art, music) and courses in educational
theory or philosophy.
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Course
Title/Description
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School
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Date Completed
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Units*
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*Specify quarter or semester units
All
education transcripts will be required prior to hiring.
STATEMENT
OF PURPOSE
Please indicate briefly why you are
interested in the position applied for and how it would fit into your
career plans. Indicate what previous contacts you have had with Montessori
schools, whether you are acquainted with Montessori theories of education,
and what reason you might have, if any, for wanting specifically to work in
a Montessori school.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
WORK
HISTORY/REFERENCES
List your work experience, in its
entirety, beginning with your present or last job in reverse order. Be sure
to include appropriate military experience. Put a * if the job gives you
specific experience in the position for which you are applying. If you need
more space, please use a separate sheet of paper.
Employer
___________________________________ Dates Employed: from __/__/__ to
__/__/__
Address
__________________________________________________ Phone (____) __________
Full Time
Part-time
Temporary
Average number of hours worked per week
_____ Your Title _____________________________
Supervisor's Name
__________________________ Hourly Rate/Salary: $________start
$________final
Reason for Leaving __________________
Describe Work Performed
__________________________________________________________
_______________________________________________________________________________
Employer
___________________________________ Dates Employed: from __/__/__ to
__/__/__
Address
__________________________________________________ Phone (____) __________
Full Time
Part-time
Temporary
Average number of hours worked per week
_____
Your Title _____________________________
Supervisor's Name __________________________
Hourly Rate/Salary: $________start
$________final Reason for Leaving __________________
Describe Work Performed
__________________________________________________________
_______________________________________________________________________________
Employer
___________________________________ Dates Employed: from __/__/__ to
__/__/__
Address
__________________________________________________ Phone (____) __________
Full Time
Part-time
Temporary
Average number of hours worked per week
_____ Your Title _____________________________
Supervisor's Name
__________________________ Hourly Rate/Salary: $________start
$________final Reason for Leaving
__________________ Describe Work Performed
__________________________________________________________
_______________________________________________________________________________
Name three (3) personal references not
related to you and not previous employers:
1. Name
___________________________________________________________________ Address
____________________________________________________ Phone _____________ 2.
Name
_______________________________________________________________________
Address ____________________________________________________ Phone
_____________ 3. Name _______________________________________________________________________
Address ____________________________________________________ Phone
_____________
I give Redbud Montessori
School the right to
investigate all work history/personal references.
Furthermore, I give Redbud Montessori
School the right to
verify any educational reference given in this application. I hereby
release from liability Redbud
Montessori School
and its representatives for seeking such information and all other
corporations, educational institutions, individuals or organizations for
furnishing such information. _______ Initial here
It is understood and agreed that 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. _______ Initial here
In the event of my employment by Redbud Montessori
School, I agree to abide by all
present and subsequently issued rules, policies and programs of Redbud Montessori School.
_______ Initial here
I understand that I am free to resign at
anytime and Redbud
Montessori School
reserves the right to terminate my employment at any time, with or without
cause, and without prior notice. _______ Initial here
I understand that I must have my fingerprints
on file with the Department of Social Services and/or the Department of
Justice, before any contact with children, and I must also have a current
physical with TB test. I understand that all costs for fingerprinting and
physical will be reimbursed to me upon employment. If I leave employment,
for any reason, during the first 30 days, I understand that I will be
responsible for all costs for fingerprinting and physical and that Redbud
will deduct all costs, reimbursed to me for fingerprinting and physical,
from my final paycheck. _______ Initial here
Signature of Applicant
______________________________________ Date __________________
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"Follow The
Child..."