Champion Christian Learning Academy Application For Employment

P:423-498-2642

F:423-498-2663

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Position Applied For: *

Management Position
School Director
Assistant Director
Administrative Assistant
Lead Teacher
Assistant Teacher
Kitchen Staff
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Email *

Last Name *

First Name *

Middle Name

Address *

City *

State *

Postal code *

Select Location

Brainerd Location
South Terrace Location
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Are you currently employed?

Yes
No
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On what date would you be available for work?

Are you available to work:

Full Time

Part Time

What days are you available? (Check all that apply)

Monday

Tuesday

Wednesday

Thursday

Friday

What times are you available to work?

Are you currently on "lay-off" status and subject to recall?

Yes
No
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Education

Name & Address Of School

Years Completed

Diploma Degree

High School

Undergraduate College

Graduate Professional

Other (Specify)

Employment Experience

Start with your present or last job. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

How many employers have you had?

1
2
3
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Employer 1 Details

Employer

Date Employed (From - To)

Work Performed

Address

Telephone Number

Hourly Rate/Salary (Starting - Final)

Job Title

Supervisor

Reason for Leaving

Employer 2 Details

Employer

Date Employed (From - To)

Work Performed

Employer Address

Telephone Number

Hourly Rate/Salary (Starting - Final)

Job Title

Supervisor

Reason for Leaving

Employer 3 Details

Employer

Date Employed (From - To)

Work Performed

Employer Address

Employer Telephone Number

Hourly Rate/Salary (Starting - Final)

Job Title

Supervisor

Reason for Leaving

If you need additional space, please use the box below

Additional Information

Other Qualifications: Summarize special job-related skills and qualifications acquired from employment or other experience

References

Name

Relationship

Phone

Name

Relationship

Phone

Name

Relationship

Phone

Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge. I authorized investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision

Signature of Applicant

Clear

Date