Jobs

Name:      Date:
Address:
City:         State:   Zip:
Phone:     Alt. Phone:

EDUCATION

School:   Dates Attended:   Diploma/Degree:
School:   Dates Attended:   Diploma/Degree:
School:   Dates Attended:   Diploma/Degree:

WORK EXPERIENCE

Place:   Years:   Dates Worked:
Place:   Years:   Dates Worked:
Place:   Years:   Dates Worked:

REFERENCES (Please list three) Please include phone numbers:

1:
2:
3:

HAVE YOU BEEN CONVICTED OF A FELONY WITHIN THE LAST 5 YEARS? Yes No

Record of conviction does not disqualify applicant from employment consideration.

In a brief paragraph state why you desire a position at Summit School.

By submitting this application, you are confirming that you have read the following statement.

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of act on this application or any interview may result in my dismissal. I understand that this employment application and other documents are not contracts of employment. I authorize Summit School to thoroughly investigate my references, personal history, work record and matters related to my suitability for employment. I also release Summit School from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I understand and agree that if I am employed, I will be asked to sign a Contract stating terms of my employment.

Please note that this application is considered current for six months. If you want to be considered for employment after this time, you must complete another application form.