Type of Position Desired

If other

Please specify the specific position for which you are applying, including the grade level(s) and subject area(s) for teachers

Type of Employment Desired

Have you ever been employed here before?

When?

What Position?

Are you legally eligible for employment in this country?

Date available for work

Desired Salary Range

Referral Source: (Friend, Newspaper or Website Ad- please indicate site, Other)

Do you have a connection to the Waynflete Community? (Alum, Parent, Friend of Faculty, etc.)

If yes, please provide details.

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Have you ever pled “guilty or “no contest” to, or been convicted of a crime?

If yes, please provide dates & details

Have you ever been the subject of an investigation involving sexual misconduct?

If yes, please provide dates & details

Note: Answering “yes” to the above questions does not constitute an automatic bar to employment. Factors such as date of offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Please complete all sections even if resume is attached except where noted.

Employer (most recent)

Name

Telephone

From

To

Street Address

City, State

Starting Job Title

Immediate Supervisor (for most recent position)

May we contact for Reference?

Final Job Title

Why did you leave?

Summarize the type of work performed and job responsibilities: (Omit section if resume has been submitted)

Employer (next most recent)

Name

Telephone

From

To

Street Address

City, State

Starting Job Title

Immediate Supervisor (for most recent position)

May we contact for Reference?

Final Job Title

Why did you leave?

Summarize the type of work performed and job responsibilities: (Omit section if resume has been submitted)

Employer (next most recent)

Name

Telephone

From

To

Street Address

City, State

Starting Job Title

Immediate Supervisor (for most recent position)

May we contact for Reference?

Final Job Title

Why did you leave?

Summarize the type of work performed and job responsibilities: (Omit section if resume has been submitted)

Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying.

High School

Name and Location of School

Years Attended

Did you graduate?

Subjects Studied

Trade, Business or Correspondence School

Name and Location of School

Years Attended

Did you graduate?

Subjects Studied

Please upload letters of recommendation and unofficial transcripts if available.

Please list three business/work references, who are not related to you, and whom you have known for at least one year.

Reference 1

Name

Title

Telephone

Relationship to You

Years Known

Email Address

Reference 2

Name

Title

Telephone

Relationship to You

Years Known

Email Address

Reference 3

Name

Title

Telephone

Relationship to You

Years Known

Email Address

I give the School permission to contact all or any of my previous employers and references—except as noted—and authorize them to provide all information requested of them by the School. I authorize the School to obtain, use and rely upon information in relation to my application. I have provided truthful and complete responses to all inquiries in the application and understand that the discovery of any falsification or omission constitutes a ground for immediate dismissal.

* APPLICANT’S SIGNATURE

* DATE

Equal Employment Opportunity: Waynflete School provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sexual orientation, gender identity or expression, ancestry, national origin, age, disability, sex, genetic information, protected veteran status or any other category protected by federal, state, and local laws.