EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION APPLICANT INFORMATIONName First Last Date Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Home PhoneCell PhoneEmail Date AvailableDesired Salary $ . /hourPosition Applied forAre you a citizen of the United States?YesNoAre you authorized to work in the U.S?YesNoHave you ever been convicted of a felony?YesNoPlease Explain AVAILABILTY Monday Tuesday Wednesday Thursday Friday MondayFromTo TuesdayFromTo WednesdayFromTo ThursdayFromTo FridayFromTo Will you have second job/school?YesNowhere, and what time?EDUCATIONHigh School AddressDid you graduate?YesNoGraduateDegreeCollegeAddress Do you possess a Montessori Teaching Certificate?YesNoLevel Of CertificateTraining CenterYears of Experience working w/ childrenIn Montessori:REFERENCESPlease list three personal references.Reference 1Full NameRelationshipCompanyPhoneextAddressReference 2Full NameRelationshipCompanyPhoneextAddressReference 3Full NameRelationshipCompanyPhoneextAddressPREVIOUS EMPLOYMENTCompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesFrom / / To / / Reason for Leaving May we contact your previous supervisor for a reference?YesNoCompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesFrom / / To / / Reason for Leaving May we contact your previous supervisor for a reference?YesNoMONTESSORI QUESTIONSName any other jobs, responsibilities, volunteer positions that you believe may demonstrate skills or qualities that make you more qualified for this position:Do you have limitations that would prevent you from performing certain aspects of teaching in a Montessori classroom or maintaining a Montessori environment? If so, please describe:Please explain why you would like to have this position: Please explain why you are a good candidate for this position: Name the reasons why you believe Montessori education is beneficial to children, educationally, socially, and emotionally:Please describe the qualities a teacher should possess to be a successful Montessori teacher: What do you believe makes someone a good team player when it comes to working in a team environment?What type of work attendance do you believe is necessary to be considered reliable and dependable? How many absences a year qualify as acceptable in your opinion?Would you consider yourself to be reliable and dependable? In what ways have you shown these traits in the past?DISCLAIMER AND SIGNATUREI certify that my answers are true and complete to the best of my knowledge.If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.SignatureDate This iframe contains the logic required to handle Ajax powered Hubbli Forms.